Abstract:
PURPOSE:To assess the feasibility of radiological stage-1 ALPPS, associating liver partition and portal vein ligation for staged hepatectomy, by combining portal vein embolization (PVE) with percutaneous intrahepatic split by ablation (PISA). MATERIALS AND METHODS:Three patients (mean age 65.0 ± 7.3 years) underwent PVE and PISA. PISA was performed 21 days after PVE by microwave ablation to create a continuous intrahepatic cutting plane. Abdominal CT examinations were performed before and after PVE and PISA. The future liver remnant (FLR) volume was calculated by semiautomatic segmentation, and increase was reported as a percentage of the pre-procedural volume. The FLR/body weight (FLR/BW) ratio was calculated; a ratio greater than 0.8% was considered sufficient for guaranteeing adequate liver function after surgery. The liver function before and after PISA was also evaluated by 99mTc-mebrofenin hepatobiliary scintigraphy. Patients' laboratory tests, performance status, ability to walk were assessed before and after PVE and PISA procedures. RESULTS:No procedure-related complications were recorded. The FLR volume increase in each patient was 42.0, 33.1 and 30.4% within 21 days of PVE and 109.3, 68.1 and 71.7% within 10 days after PISA. The FLR/BW ratios were 0.76, 0.66, 0.63% and 1.13, 0.83, 0.83% after PVE and PISA procedures, respectively. Two patients underwent successful right hepatectomy; in one patient, despite 1.13% FLR/BW, surgery was not performed because of the absolute rejection of blood transfusion due to the patient's religious convictions. CONCLUSION:Radiological stage-1 ALPPS is a feasible, minimally invasive option to be further investigated to become an effective alternative to surgical stage-1 ALPPS.
journal_name
Cardiovasc Intervent Radioljournal_title
Cardiovascular and interventional radiologyauthors
Lunardi A,Cervelli R,Volterrani D,Vitali S,Lombardo C,Lorenzoni G,Crocetti L,Bargellini I,Campani D,Pollina LE,Cioni R,Caramella D,Boggi Udoi
10.1007/s00270-018-1882-7subject
Has Abstractpub_date
2018-05-01 00:00:00pages
789-798issue
5eissn
0174-1551issn
1432-086Xpii
10.1007/s00270-018-1882-7journal_volume
41pub_type
杂志文章abstract::Anomalous pulmonary venous return represents a rare congenital anomaly with wide anatomic and physiologic variability. We report a case of the newborn with a rare form of total infracardiac anomalous pulmonary venous connection (TAPVC). The pulmonary veins draining both lungs formed two vertical veins, which joined to...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/BF02563905
更新日期:1996-03-01 00:00:00
abstract::Mycotic aneurysms are uncommon, especially those located in visceral arteries. We present a case of a patient with two visceral mycotic aneurysms due to bacterial endocarditis, one located in right upper pole renal artery and the second in the splenic artery. Both aneurysms were treated as endovascular embolization us...
journal_title:Cardiovascular and interventional radiology
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doi:10.1007/s00270-010-9971-2
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abstract:PURPOSE:To determine the optimal dose of nicardipine (NCR) for enhancement of indirect portography. METHODS:Forty-eight patients underwent conventional film indirect portography via the superior mesenteric artery (SMA) first without and then with preinjection of 1/64-2 mg of NCR into the SMA. RESULTS:NCR (1/8-2 mg) s...
journal_title:Cardiovascular and interventional radiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s002709900204
更新日期:1998-01-01 00:00:00
abstract::Digital subtraction angiography (DSA) with a low injection rate of contrast (0.5 ml/sec) was studied as a means of predicting the regional perfusion of percutaneously placed catheters for hepatic arterial chemotherapy. In 64 hepatic artery catheter placements, conventional injection rate angiography (3-5 ml/sec) and l...
journal_title:Cardiovascular and interventional radiology
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doi:10.1007/BF02575416
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journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-001-0046-2
更新日期:2002-01-01 00:00:00
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journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-010-0058-x
更新日期:2011-12-01 00:00:00
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journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
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journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
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更新日期:1990-12-01 00:00:00
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journal_title:Cardiovascular and interventional radiology
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journal_title:Cardiovascular and interventional radiology
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更新日期:2015-12-01 00:00:00
abstract::Substantial improvements have been made in the systemic treatment of colorectal cancer over the last two decades. Median overall survival (OS) of patients with metastatic colorectal cancer (mCRC) has been constantly increased and the most recent first-line studies exceeded the 30-month median overall survival. The sta...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章,评审
doi:10.1007/s00270-019-02278-7
更新日期:2019-09-01 00:00:00
abstract:PURPOSE:To evaluate the outcome of patients with melanoma liver metastasis treated with stereotactic radiofrequency ablation (SRFA). MATERIAL AND METHOD:Following IRB approval, a retrospective evaluation of the treatment of 20 patients with 75 melanoma liver metastases was performed. RESULTS:A median number of 2 lesi...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-016-1336-z
更新日期:2016-08-01 00:00:00
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更新日期:2018-01-01 00:00:00
abstract::Patients with chemotherapy-refractory liver metastases who are not candidates for surgery may be treated with focal ablation techniques with established survival benefits. Irreversible electroporation is the newest of these and has the putative advantages of a nonthermal action, preventing damage to adjacent biliary s...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
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journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
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更新日期:2019-01-01 00:00:00
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journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/BF02570181
更新日期:1996-09-01 00:00:00
abstract:PURPOSE:This study describes and evaluated the effectiveness of occluding distal ureters in the clinical setting of urinary vaginal (vesicovaginal or enterovesicovaginal) fistulae utilizing a new technique which combines Amplatzer vascular plugs and N-butyl cyanoacrylate. MATERIALS:This is a retrospective study (Janua...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-012-0510-1
更新日期:2013-08-01 00:00:00
abstract::Rectal injuries caused by foreign bodies or iatrogenic insertions may lead to severe complications whose therapeutic management remains controversial. At times, both the rapid identification and treatment of subsequent active rectal bleeding may be challenging, especially when endoscopy fails to locate and control the...
journal_title:Cardiovascular and interventional radiology
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doi:10.1007/s00270-004-0168-4
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abstract::The Kimray-Greenfield inferior vena cava filter, which is used to prevent pulmonary embolization from the pelvis and lower extremities, has a high patency rate and a low complication rate. In one patient, however, thrombus formation at the apex of the filter during introduction resulted in the filter's failure to open...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
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abstract:PURPOSE:This study was designed to determine the effectiveness of percutaneous balloon dilation and long-term drainage of postoperative benign biliary strictures. METHODS:Medical records of patients with postoperative benign biliary strictures, in whom percutaneous transhepatic biliary drainage (PTBD) and balloon dila...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/s00270-014-0836-y
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journal_title:Cardiovascular and interventional radiology
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journal_title:Cardiovascular and interventional radiology
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更新日期:2005-01-01 00:00:00
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journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
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更新日期:2012-08-01 00:00:00
abstract::Minimally invasive image-guided insertion of self-expanding metal stents in the upper gastrointestinal tract is the current treatment of choice for palliation of malignant esophageal or gastroduodenal outlet obstructions. A concise review is presented of contemporary stenting practice of the upper gastrointestinal tra...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章,评审
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更新日期:2010-08-01 00:00:00
abstract::We implanted stents in three patients who had traumatic abdominal aortic dissections, complicated by right limb ischemia in one case. The circulating false channel extended to the left iliac artery in one case and to both iliac arteries in the last case. Diagnosis and radiological follow-up included ultrasound, comput...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
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更新日期:1997-11-01 00:00:00
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journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00270-013-0639-6
更新日期:2013-08-01 00:00:00
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journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
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更新日期:2011-12-01 00:00:00
abstract::Nine high-risk patients with endoscopic evidence of bleeding from the left gastric artery territory without angiographic extravasation were embolized to prevent rebleeding. Three were embolized with Gelfoam particles, 1 with Gianturco coils, and 5 with Gelfoam plus coils. Three patients rebled; 2 were embolized with G...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
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更新日期:1986-01-01 00:00:00
abstract:PURPOSE:To evaluate the efficacy of transcatheter oily chemoembolization (TOCE) for hepatocellular carcinoma (HCC) on the basis of microscopic and macroscopic findings postembolization. METHODS:HCCs ranging in size from 0.5 to 13 cm (mean 3.6 cm) were obtained from partial hepatectomies of 100 consecutive patients who...
journal_title:Cardiovascular and interventional radiology
pub_type: 杂志文章
doi:10.1007/BF02807227
更新日期:1995-03-01 00:00:00
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journal_title:Cardiovascular and interventional radiology
pub_type: 临床试验,杂志文章
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更新日期:1999-07-01 00:00:00