False aneurysm of a hepatic artery branch and a recurrent subphrenic abscess

1996 ◽  
Vol 10 (2) ◽  
pp. 161-163 ◽  
Author(s):  
R. J. Porte ◽  
E. G. Coerkamp ◽  
R. K. J. Koumans
Keyword(s):  
Hepatic Artery ◽  
False Aneurysm ◽  
Subphrenic Abscess ◽  
Hepatic Artery Branch ◽  
Artery Branch

False aneurysm of a hepatic artery branch complicating intrahepatic islet transplantation

2009 ◽  
Vol 22 (6) ◽  
pp. 663-666 ◽  
Author(s):  
Nicholas Onaca ◽  
Bashoo Naziruddin ◽  
Henry B. Randall ◽  
James D. Meler ◽  
Edmund Q. Sanchez ◽  
...  
Keyword(s):  
Hepatic Artery ◽  
Islet Transplantation ◽  
False Aneurysm ◽  
Hepatic Artery Branch ◽  
Artery Branch

scholarly journals Complications Following Irinotecan-Loaded Microsphere Chemoembolization of Colorectal Metastatic Liver Lesions Associated with Hepatic-Artery Branch Temporary Stasis

2021 ◽  
Vol 28 (3) ◽  
pp. 2296-2307
Author(s):  
Marcin Szemitko ◽  
Elzbieta Golubinska-Szemitko ◽  
Jerzy Sienko ◽  
Aleksander Falkowski
Keyword(s):  
Colorectal Cancer ◽  
Adverse Events ◽  
Liver Metastases ◽  
Hepatic Artery ◽  
Liver Lesions ◽  
Apparent Lack ◽  
Neoplastic Lesion ◽  
Hepatic Artery Branch ◽  
Artery Branch ◽  
Metastatic Liver

Chemoembolization with irinotecan-loaded microspheres has proven effective in the treatment of unresectable liver metastases in the course of colorectal cancer (CRC). Most researchers recommend slowly administering the embolizate at the level of the lobar arteries, without obtaining visible stasis. However, there are reports of a relationship between postoperative embolizate retention in metastatic lesions and the response to treatment. To retain residual embolizate throughout the entire neoplastic lesion requires a temporary flow stop (stasis) within all supply vessels, which may cause temporary stasis in subsegmental or even segmental vessels. Objective: To assess the risk of complications and post-embolization syndrome severity following chemoembolization of CRC metastatic liver lesions with microspheres loaded with Irinotecan, with regard to hepatic-artery branch level of temporary stasis. Patients and methods: The study included 52 patients (29 female, 23 male) with liver metastases from CRC, who underwent 202 chemoembolization treatments (mean: 3.88 per patient) with microspheres loaded with 100 mg irinotecan. Postembolization syndrome (PES) severity and complication occurrence were assessed with regard to the hepatic-artery branch level of temporary stasis. Adverse events were assessed according to Cancer Therapy Evaluation Program Common Terminology Criteria for Adverse Events. Results: Median survival from the start of chemoembolization was 13 months. From 202 chemoembolization sessions, 15 (7.4%) significant complications were found. The study found a significant relationship between the branch level of temporary stasis and the presence of complications (p < 0.001), with the highest number of complications observed with temporary stasis in segmental vessels. PES was diagnosed after 103 (51%) chemoembolization treatments. A significant association was found between PES severity and the branch level of temporary stasis (p < 0.001). Conclusions: The branch level of temporary stasis affected the severity of post-embolization syndrome. A significant association was found between the branch level of temporary stasis obtained in chemoembolization procedures and the presence of complications. The apparent lack of change in numbers of complications when stasis was applied at tumor supply vessels or subsegmental arteries may indicate the safe use of temporary stasis in some cases where colorectal cancer metastases are treated. Further research is needed to determine the most effective chemoembolization technique.

Portal Vein Tract Embolization After Percutaneous Transhepatic Biliary Interventions

2018 ◽  
Author(s):  
Kazim Narsinh ◽  
Steven C. Rose ◽  
Thomas Kinney
Keyword(s):  
Portal Vein ◽  
Hepatic Artery ◽  
Arterial Embolization ◽  
Bleeding Complications ◽  
Hepatic Arteriography ◽  
Portal Vein Branch ◽  
Vein Access ◽  
Suitable Target ◽  
Hepatic Artery Branch ◽  
Artery Branch

Bleeding complications during percutaneous biliary intervention result from injury to the hepatic artery, hepatic vein, or portal vein. If bleeding originating from a hepatic artery branch is suspected, hepatic arteriography should be performed with and without the drainage catheter in place over a wire, and subselective embolization can be performed if a suitable target is identified. If a bleeding hepatic artery branch is not identified, bleeding from a portal vein branch is suspected. Treatment of portal vein injuries is challenging in this situation because obtaining direct percutaneous portal vein access is ill-advised. Although injuries to the hepatic artery or vein can often be treated by tract tamponade or arterial embolization, iatrogenic communication between the portal vein and biliary system can be difficult to treat effectively. This chapter presents a method to identify portal vein-to-biliary tract communications via cholangiography, with subsequent embolization via the transhepatic tract.

scholarly journals Hemobilia after pseudoaneurysm of a right hepatic artery branch

2010 ◽  
Vol 102 (6) ◽  
Author(s):  
B. Arroja ◽  
M. Canhoto ◽  
P. Barata ◽  
C. Gonçalves ◽  
F. Silva ◽  
...  
Keyword(s):  
Hepatic Artery ◽  
Right Hepatic Artery ◽  
Hepatic Artery Branch ◽  
Artery Branch

scholarly journals ANATOMIC VARIATIONS OF HEPATIC ARTERY: A STUDY IN 479 LIVER TRANSPLANTATIONS

2017 ◽  
Vol 30 (1) ◽  
pp. 35-37 ◽  
Author(s):  
Olival Cirilo Lucena da FONSECA-NETO ◽  
Heloise Caroline de Souza LIMA ◽  
Priscylla RABELO ◽  
Paulo Sérgio Vieira de MELO ◽  
Américo Gusmão AMORIM ◽  
...  
Keyword(s):  
Superior Mesenteric Artery ◽  
Hepatic Artery ◽  
Mesenteric Artery ◽  
Left Gastric Artery ◽  
Type Ii ◽  
Gastric Artery ◽  
Left Hepatic Artery ◽  
Hepatic Artery Branch ◽  
Arterial Anatomy ◽  
Artery Branch

ABSTRACT Background: The incidence of anatomic variations of hepatic artery ranges from 20-50% in different series. Variations are especially important in the context of liver orthotopic transplantation, since, besides being an ideal opportunity for surgical anatomical study, their precise identification is crucial to the success of the procedure. Aim: To identify the anatomical variations in the hepatic arterial system in hepatic transplantation. Methods: 479 medical records of transplanted adult patients in the 13-year period were retrospectively analyzed, and collected data on hepatic arterial anatomy of the deceased donor. Results: It was identified normal hepatic arterial anatomy in 416 donors (86.84%). The other 63 patients (13.15%) showed some variation. According to the Michels classification, the most frequently observed abnormalities were: right hepatic artery branch of superior mesenteric artery (Type III, n=27, 5.63%); left hepatic artery branch of the left gastric artery (Type II, n=13, 2.71%); right hepatic artery arising from the superior mesenteric artery associated with the left hepatic artery arising from the left gastric artery (Type IV, n=4, 0.83%). Similarly, in relation to Hiatt classification, the most prevalent changes were: right hepatic accessory artery or substitute of the superior mesenteric artery (Type III, n=28, 6.05%)), followed by liver ancillary left artery or replacement of gastric artery left (Type II, n=16, 3.34. Fourteen donors (2.92%) showed no anatomical abnormalities defined in classifications, the highest frequency being hepatomesenteric trunk identified in five (01.04%). Conclusion: Detailed knowledge of the variations of hepatic arterial anatomy is of utmost importance to surgeons who perform approaches in this area, particularly in liver transplantation, since their identification and proper management are critical to the success of the procedure.

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