scholarly journals Arterioportal Fistulas (APF) in Liver Tumors: Prognosis in Relation to Treatment

HPB Surgery ◽  
1992 ◽  
Vol 5 (2) ◽  
pp. 87-94 ◽  
Author(s):  
Anatoly M. Granov ◽  
Pavel G. Tarazov ◽  
Vladimir K. Ryzhkov

Prognosis of 16 patients with hepatic tumors and angiographically proven arterioportal fistulas was analysed in relation to treatment. Six patients received only conservative therapy; they all died of variceal bleeding in the course of two months after angiography. Hepatic resection was performed in four patients; three of them are still alive 13–52 months later including two free of both the tumor and portal hypertension. Hepatic artery embolization was carried out in six patients. All of them died in 2–36 months after the procedure, but only two from gastroesophageal hemorrhage. It is concluded that prognosis of arterioportal fistulae in liver neoplasms is poor due to hyperkinetic portal hypertension and following variceal bleeding. Hepatic resection of both the tumor and the fistula is the treatment of choice. In unresectable cases hepatic artery embolization will decrease the risk of variceal hemorrhage.

HPB Surgery ◽  
1993 ◽  
Vol 7 (1) ◽  
pp. 53-59 ◽  
Author(s):  
Andrew J. Oishi ◽  
David M. Nagorney ◽  
Kenneth J. Cherry

Intrahepatic arterioportal fistulas (APF) are uncommon complications following hepatic trauma. Large fistulas can result in portal hypertension and cardiovascular compromise. A 46-year-old patient is described who presented with portal hypertension, variceal bleeding, and high output cardiac failure due to a large intrahepatic APF. Surgical closure of the APF by hepatic resection successfully resolved the portal hypertension, prevented further variceal hemorrhage, and restored normal cardiovascular function.


1986 ◽  
Vol 9 (3) ◽  
pp. 146-151 ◽  
Author(s):  
Osamu Matsui ◽  
Isao Kawamura ◽  
Masumi Kadoya ◽  
Tsutomu Takashima ◽  
Yasuji Nakanuma

Theranostics ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. 785-799 ◽  
Author(s):  
Qiufang Liu ◽  
Yuyi Qian ◽  
Panli Li ◽  
Sihang Zhang ◽  
Jianjun Liu ◽  
...  

2013 ◽  
Vol 48 (8) ◽  
pp. e9-e12 ◽  
Author(s):  
Joseph P. Terlizzi ◽  
Robert Azizi ◽  
Monica D. Chow ◽  
Sharon Underberg-Davis ◽  
John L. Nosher ◽  
...  

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