Revista ABCd (São Paulo). 01 set, 2014

Portal vein embolization using an adapted hysterosalpingography catheter

Klaus STEINBRÜCK
Jefferson ALVES
Reinaldo FERNANDES
Marcelo ENNE
Lúcio Filgueiras PACHECO-MOREIRA
DOI: 10.1590/S0102-67202014000300011

BACKGROUND:

Portal vein embolization is an accepted procedure that provides hypertrophy of the future remnant liver in order to reduce post-hepatectomy complications.

AIM:

To present a series submitted to portal vein embolization using an adapted hysterosalpingography catheter via transileocolic route.

METHODS:

Were performed right portal branch embolization in 19 patients using hysterosalpingography catheter. For embolizing the vessel, was used Gelfoam(r) powder with absolute alcohol solution. Indications for hepatectomy were colorectal liver metastases in all cases.

RESULTS:

An adequate growth of the future remnant liver was achieved in 15 patients (78.9%) and second time hepatectomy could be done in 14 (73.7%). In one patient (5.2%), tumor progression prevented surgery. One patient presented acute renal failure after portal embolization.

CONCLUSIONS:

The hysterosalpingography catheter is easy to handle and can be introduced into the portal vein with a wire guide. There were no major post-embolization complication. Its use is safe, cheap and effective.


. . .
Compartilhe esse artigo
Busca Avançada
Indexado em:
SIGA-NOS!
ABCD – BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY is a periodic with a single annual volume in continuous publication, official organ of the Brazilian College of Digestive Surgery - CBCD. Technical manager: Dr. Francisco Tustumi | CRM: 157311 | RQE: 77151 - Cirurgia do Aparelho Digestivo

Desenvolvido por Surya MKT

Todos os direitos reservados © 2024