scholarly journals Reversible Right-Sided Heart Failure Secondary to Carcinoid Crisis

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Mariana Soto Herrera ◽  
José A. Restrepo ◽  
Jesús H. Díaz ◽  
Andrés Ramos ◽  
Andrés Felipe Buitrago ◽  
...  
Keyword(s):  
Heart Failure ◽  
Case Report ◽  
Hepatic Artery ◽  
Somatostatin Analogs ◽  
Arterial Embolization ◽  
Hepatic Artery Embolization ◽  
Artery Embolization ◽  
Carcinoid Crisis ◽  
Life Threatening ◽  
Fatal Complications

Carcinoid crisis is an infrequent and little-described complication of neuroendocrine tumors that can be life threatening. It may develop during induction of anesthesia, intraoperatively, during tumor manipulation and arterial embolization, or even spontaneously. The massive release of neuroendocrine substances can lead to potentially fatal complications. Somatostatin analogs inhibit the release of these substances and are the mainstay of treatment. The following case report describes a patient with reversible acute right-sided heart failure posterior to hepatic artery embolization.

Management of Massive Hepatic Hemangiomas in Infants and Children: A Review of 13 Cases

PEDIATRICS ◽  
1982 ◽  
Vol 70 (2) ◽  
pp. 254-258
Author(s):  
Robert Pereyra ◽  
Richard J. Andrassy ◽  
G. Hossein Mahour
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Los Angeles ◽  
Hepatic Artery ◽  
Severe Congestive Heart Failure ◽  
Hepatic Hemangioma ◽  
Hepatic Artery Embolization ◽  
Artery Embolization ◽  
Hepatic Arteriography ◽  
Artery Ligation

From 1958 through 1978, 13 patients with diffused hepatic hemangioma were seen at Childrens Hospital of Los Angeles. Based on this experience and review of the literature, liver biopsy in these patients was found to be unnecessary and hazardous. Diagnosis can be made by dynamic and static hepatic scintigraphy and selective hepatic arteriography. Nonsurgical measures including treatment of congestive heart failure, corticosteroids, and radiotherapy are recommended for treatment of these patients. Surgery should be reserved only for emergencies, such as rupture of the tumor and hemorrhage, or for patients with severe congestive heart failure unresponsive to medical treatment. For the latter group of patients hepatic artery ligation is recommended. Hepatic artery embolization has recently been used, but experience with this new mode of therapy is limited.

scholarly journals Liver Abscess after Common Hepatic Artery Embolization for Delayed Hemorrhage Following Pancreaticoduodenectomy: Case Report

2010 ◽  
Vol 2010 ◽  
pp. 1-8 ◽  
Author(s):  
Yuichi Sanada ◽  
Hiroki Kondo ◽  
Satoshi Goshima ◽  
Masayuki Kanematsu ◽  
Yoshihiro Tanaka ◽  
...  
Keyword(s):  
Anastomotic Leakage ◽  
Hepatic Artery ◽  
Bile Duct Carcinoma ◽  
Hepatic Artery Embolization ◽  
Artery Embolization ◽  
Duct Carcinoma ◽  
Continuous Irrigation ◽  
Delayed Hemorrhage ◽  
Life Threatening ◽  
The Right

A 55-year-old man underwent pancreaticoduodenectomy for bile duct carcinoma in March 2009. The patient developed anastomotic leakage and had a short episode of hemorrhage from the drainage tubes with spontaneous disappearance. CT and upper endoscopy did not reveal the source of bleeding. A massive life-threatening hemorrhage occurred on the 18th postsurgical day. Emergency angiography showed a 2.7-cm pseudoaneurysm of the gastroduodenal artery stump, and hepatic artery embolization was performed. After embolization, an abscess appeared in segments 2/3 of the liver without involving the right lobe. We treated conservatively by drainage and antibiotics. During the course of therapy after embolization, the patient experienced several episodes of high fever but did not develop hepatic failure. On the 68th day after embolization, the abscess had penetrated to the lesser sac, which was immediately treated by percutaneous drainage. Anastomotic leakage was treated by continuous irrigation from the drain, for which complete resolution was achieved by the 34th day after embolization. The patient was discharged 101 days after embolization. Imaging and the clinical course demonstrate a unique mechanism of abscess formation after embolization.

scholarly journals Hepatic artery embolization for treating giant hemangioma of liver: an experience from a tertiary level hospital in India

2017 ◽  
Vol 5 (2) ◽  
pp. 689
Author(s):  
Dharmik Bhuva ◽  
Manish Agrawal ◽  
Jawahar Rathod ◽  
Chandrakant Kamble ◽  
Anup Biswas
Keyword(s):  
Minimally Invasive ◽  
Hepatic Artery ◽  
Arterial Embolization ◽  
Radiology Department ◽  
Patient Acceptance ◽  
Common Source ◽  
Common Symptom ◽  
Hepatic Artery Embolization ◽  
Artery Embolization ◽  
Contrast Enhanced

Background: Transcatheter hepatic artery embolization (TAE) is a minimally invasive procedure. This study aimed to assess radiological features of giant haemangioma of liver on untrasonography, contrast enhanced tomography, magnetic resonance imaging and digital subtraction angiography, to assess the safety, feasibility and efficacy of transcatheter arterial embolization of hepatic artery in giant liver haemangioma.Methods: This prospective study was conducted in the Interventional Radiology Department, Government Medical College Nagpur from September 2013 till August 2015. Patients were enrolled who were diagnosed with liver hemangioma after obtaining an informed consent. Patients underwent routine investigations and imaging modalities like ultrasonography, contrast enhanced computed tomography. Patients were followed up at 3 months and 9 months.Results: During the study period, 28 patients were enrolled, 9 males, most common age group being 31-50 years. Abdominal discomfort was the most common symptom. Majority of the lesions were hyperechoic and not vascular. On CECT most of the lesions appeared progressive centripetal. On DSA heaptic artery was the most common source of vascular supple. Statistically significant change in size of the lesion was observed on either lobe when imaged via USG or CECT. No long term complications were seen in majority of the patients.Conclusions: This study shows that TAE in Giant Hepatic Haemangiomas is safe, feasible, efficient, and minimally invasive with good patient acceptance, minimal complications and no mortality.

Peliosis hepatis in a child with myotubular myopathy: Successful treatment using hepatic artery embolization

2013 ◽  
Vol 48 (8) ◽  
pp. e9-e12 ◽  
Author(s):  
Joseph P. Terlizzi ◽  
Robert Azizi ◽  
Monica D. Chow ◽  
Sharon Underberg-Davis ◽  
John L. Nosher ◽  
...  
Keyword(s):  
Hepatic Artery ◽  
Successful Treatment ◽  
Peliosis Hepatis ◽  
Hepatic Artery Embolization ◽  
Artery Embolization ◽  
Myotubular Myopathy
Sign in / Sign up

Export Citation Format

Share Document