Transfemoral hepatic vein catheterization reduces procedure time in double vein embolization

Autor: Dominik A. Steffen, Arash Najafi, Christoph A. Binkert
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: CVIR Endovascular, Vol 7, Iss 1, Pp 1-5 (2024)
Druh dokumentu: article
ISSN: 2520-8934
DOI: 10.1186/s42155-024-00463-5
Popis: Abstract Background Double vein embolization with simultaneous embolization of the portal and hepatic vein aims to grow the future liver remnant in preparation for major hepatectomy. Transvenous hepatic vein embolization is usually done via a transjugular access. The purpose of this study is to describe the transfemoral approach as an alternative option and to discuss potential advantages. Results Twenty-three patients undergoing hepatic vein embolization via a transjugular (n = 10) or transfemoral access (n = 13) were evaluated retrospectively. In all cases the portal vein embolization was done first. All procedures were technically successful. There were no peri-interventional complications. Only two patients were not able to proceed to surgery. Standardized future liver remnant hypertrophy was non-inferior with the transfemoral approach compared to the transjugular route. Procedure time was significantly shorter in the transfemoral access group (40 ± 13 min) compared to the transjugular group (67 ± 13 min, p
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