Affiliation:
1. Division of Vascular and Interventional Radiology, Department of Radiology and Medical Imaging, Unversity of Virginia Health System, Charlottesville, Virginia
Abstract
AbstractPortal vein embolization (PVE) is performed with the goal of causing hypertrophy of the future liver remnant (FLR) in patients prior to partial liver resections for either hepatocellular carcinoma or metastatic liver tumors. Since its earliest description in 1984, PVE has evolved technically and has proven to be a safe and effective means of causing predictable FLR hypertrophy. PVE allows patients who would have otherwise not been candidates to proceed with safe hepatic resection, particularly extended hepatic resections. Despite advances in equipment and techniques, complications do occur with PVE. This article discusses the indications, outcomes, and complications of PVE while providing historical perspective and technical insights.
Subject
Gastroenterology,Radiology, Nuclear Medicine and imaging,Surgery
Reference61 articles.
1. Preoperative transcatheter embolization of the portal venous branch for patients receiving extended lobectomy due to the bile duct carcinoma;M Makuuchi;J Jpn Pract Surg Soc,1984
2. Preoperative portal vein embolization for hepatocellular carcinoma;H Kinoshita;World J Surg,1986
3. Ligation of a branch of the portal vein for carcinoma of the liver;I Honjo;Am J Surg,1975
4. Extensive resection of the liver in two stages;I Honjo;Rev Int Hepatol,1965
5. Preoperative portal embolization to increase safety of major hepatectomy for hilar bile duct carcinoma: a preliminary report;M Makuuchi;Surgery,1990