Disastrous Portal Vein Embolization Turned into a Successful Intervention

Dobrocky, Tomas; Kettenbach, Joachim; Lopez-Benitez, Ruben; Kara, Levent (2015). Disastrous Portal Vein Embolization Turned into a Successful Intervention. Cardiovascular and interventional radiology, 38(5), pp. 1365-1368. Springer 10.1007/s00270-014-0985-z

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Portal vein embolization (PVE) may be performed before hemihepatectomy to increase the volume of future liver remnant (FLR) and to reduce the risk of postoperative liver insufficiency. We report the case of a 71-year-old patient with hilar cholangiocarcinoma undergoing PVE with access from the right portal vein using a mixture of n-butyl-2-cyanoacrylate and ethiodized oil. During the procedure, nontarget embolization of the left portal vein occurred. An aspiration maneuver of the polymerized plug failed; however, the embolus obstructing portal venous flow in the FLR was successfully relocated into the right portal vein while carefully bypassing the plug with a balloon catheter, inflating the balloon, and pulling the plug into the main right portal vein.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic, Interventional and Paediatric Radiology
10 Strategic Research Centers > ARTORG Center for Biomedical Engineering Research

UniBE Contributor:

Dobrocky, Tomas; Kettenbach, Joachim and Kara, Levent

Subjects:

600 Technology > 610 Medicine & health
500 Science > 570 Life sciences; biology

ISSN:

0174-1551

Publisher:

Springer

Language:

English

Submitter:

Aisha Stefania Mzinga

Date Deposited:

07 Apr 2015 09:45

Last Modified:

05 Nov 2015 11:16

Publisher DOI:

10.1007/s00270-014-0985-z

PubMed ID:

25212417

BORIS DOI:

10.7892/boris.66091

URI:

https://boris.unibe.ch/id/eprint/66091

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