Intrahepatic portal-venous shunts during PVE
Autor: | Driss Raissi, Sreeja Sanampudi |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
lcsh:Medical physics. Medical radiology. Nuclear medicine
medicine.medical_specialty medicine.medical_treatment Fistula lcsh:R895-920 Portal-venous shunt Asymptomatic 030218 nuclear medicine & medical imaging law.invention Muscle hypertrophy Cholangiocarcinoma 03 medical and health sciences 0302 clinical medicine law Portal venous embolization (PVE) Interventional Radiology N-butyl cyanoacrylate medicine Radiology Nuclear Medicine and imaging Embolization business.industry medicine.disease Surgery Liver Lobe Cyanoacrylate 030220 oncology & carcinogenesis medicine.symptom Complication business Shunt (electrical) |
Zdroj: | Radiology Case Reports Radiology Case Reports, Vol 13, Iss 5, Pp 975-981 (2018) |
ISSN: | 1930-0433 |
Popis: | Portal venous embolization (PVE) is a well-validated technique to promote contralateral liver lobe hypertrophy prior to hepatic resection. We present a case of a patient with Type IV cholangiocarcinoma undergoing PVE prior to hepatic surgical resection. However, intrahepatic portal-venous shunts were incidentally found during the procedure and were subsequently embolized using embolic coils and N-butyl cyanoacrylate. While most patients with congenital portal-venous shunts remain asymptomatic, an unrecognized shunt during PVE could have resulted in a devastating complication secondary to nontarget embolization through the fistula.To our knowledge, this is the first reported case of a portal-venous shunt being discovered during a PVE. Keywords: Portal venous embolization (PVE), Cholangiocarcinoma, N-butyl cyanoacrylate, Portal-venous shunt |
Databáze: | OpenAIRE |
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