Treatment of hepatocellular carcinoma with arterioportal shunting using balloon-assisted transarterial yttrium-90 radiation segmentectomy: A case report

Author:

Kolyvas Peter1,Aljundi Moutasem2,Sivananthan Gajan2

Affiliation:

1. Department of Interventional Radiology, Georgetown School of Medicine, Washington, United States,

2. Department of Interventional Radiology, MedStar Washington Hospital Center, Washington, United States,

Abstract

Portal vein tumor thrombus (PVTT) is a common finding associated with hepatocellular carcinoma (HCC) often further complicated by arterioportal shunting. While radioembolization with Yttrium-90 (Y-90) is the preferred treatment for HCC with PVTT, shunting can complicate particle delivery. Here, we describe a case of a 65-year-old man with HCC and significant shunting from the segment IV hepatic artery into the left and right portal veins due to a PVTT. We performed a balloon-assisted radiation segmentectomy by occluding the hepatic artery supplying the PVTT to minimize arterioportal shunting and promote redistribution of particles into the tumor bed. Post Y-90 bremsstrahlung scan correlated with appropriate uptake. One-month follow-up magnetic resonance imaging demonstrated response to treatment with decreased tumor thrombus in the left portal vein. Here, we demonstrate that balloon-occlusion-assisted transarterial radiation segmentectomy could be a beneficial approach for improving tumor response and reducing complications in individuals with HCC and arterioportal shunting.

Publisher

Scientific Scholar

Subject

Computer Networks and Communications,Hardware and Architecture,Software

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3