Role of selective intra-arterial embolization in benign liver tumors
| Autor: | C. La Parra Casado, M.D. Ferrer Puchol, R. Ramiro Gandia, E. Esteban Hernández, A. Cervera Araez, R. Sala López, A. Cremades Mira |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Liver tumor medicine.medical_treatment 030218 nuclear medicine & medical imaging 03 medical and health sciences Young Adult 0302 clinical medicine Hepatic Hemorrhage Intra arterial medicine Humans Embolization Arterial embolization Embolización arterial Embolización terapéutica Liver tumor Therapeutic embolization Tratamiento Treatment Tumor hepático General Environmental Science Aged Retrospective Studies Perioperative management business.industry Arterial Embolization Liver Neoplasms Focal nodular hyperplasia Arteries medicine.disease Embolization Therapeutic Surgery Feeding artery General Earth and Planetary Sciences 030211 gastroenterology & hepatology Female Radiology business |
| Zdroj: | Radiologia r-FISABIO. Repositorio Institucional de Producción Científica instname r-FISABIO: Repositorio Institucional de Producción Científica Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO) |
| ISSN: | 1578-178X 0033-8338 |
| Popis: | Objective To present cases of symptomatic benign liver tumors diagnosed and treated with intra-arterial embolization before surgery. Material and methods We present the cases of 7 patients diagnosed with symptomatic benign liver tumors that required treatment: 1 focal nodular hyperplasia, 2 giant cavernous hemangiomas, 1 hepatic adenomatosis, and 3 hepatic adenomas. Once the feeding arteries were identified, tumors were embolized with polyvinyl alcohol particles (500 μm–700 μm) and then the feeding artery was plugged with coils if there was an arterial pedicle to ensure the total vascular exclusion of the tumor. The surgical intervention took place 4–7 days after embolization. Results All 7 patients were women (age range, 23–74 years); presurgical intra-arterial embolization was done in 6. In 1 patient with adenomatosis, embolization was done to control intraparenchymal hepatic hemorrhage. In the 6 patients who underwent surgery, the tumor was completely excised and no intraoperative bleeding events or postoperative complications occurred. Conclusions Provided there is a consensus among the multidisciplinary team, embolization is a useful option in the perioperative management of giant and/or symptomatic benign liver tumors. |
| Databáze: | OpenAIRE |
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