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Iida T T Division of Hepato-Biliary-Pancreatic and Transplant Surgery, Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto, - - 2014
Hepatic arterial reconstruction during living donor liver transplantation (LDLT) is a very delicate and technically complicated procedure. Post-LDLT hepatic arterial complications are associated with significant morbidity and mortality. We retrospectively analyzed the details of postoperative hepatic arterial complications in 673 consecutive adult LDLT recipients between January 1996 and September 2009. ...
Uchiyama Hideaki H 1 Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. 2 Address correspondence to: Hideaki Uchiyama, Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu, University, Fukuoka, 812-8582, - - 2014
Hepatic grafts used in living donor liver transplantation (LDLT) sometimes have two or more arteries, in which surgeons are required to perform complex arterial reconstruction. The aim of the current study was to demonstrate whether selecting living donor liver grafts with double or triple arteries yielded the same outcomes as ...
Iswanto Sucandy S Department of Surgery, Abington Memorial Hospital, Abington, Pennsylvania, - - 2014
Delayed intra-abdominal bleeding related to hepatic artery pseudoaneurysm is a potentially lethal complication after pancreaticoduodenectomy for pancreatic cancer. Locally advanced tumors, which result in vessel erosion or extensive operative skeletonization, may contribute to weakness of the arterial wall. Reoperation is often technically difficult with high rate of mortality; therefore, alternative ...
Violari Elena G EG Department of Radiology, Interventional Radiology Service, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA, - - 2014
No systemic agents that are known to be effective for the treatment of solid-pseudopapillary neoplasm (SPN) are available. We report the prolonged and sustained control of metastatic pancreatic SPN to the liver using hepatic arterial embolization (HAE), where a total of 13 HAE sessions were performed over a 6-year period.
Hayashi H H Division of Cancer Medicine, Department of Gastroenterologic Surgery, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan. Electronic address: - - 2014
Anatomical variations around the hepatoduodenal ligament greatly influence surgical procedures and the difficulty of operations. Here, we report the case of a deceased donor with midgut malrotation (MgM) and anatomical variation. We also present an anatomical comparison between MgM and normal cases. The donor, a male in his 60s, was ...
Makabe Kenji K Department of Surgery, Iwate Medical University School of Medicine, 19-1 Uchimaru, Morioka, Iwate, 020-8505, - - 2014
The important point in safely performing laparoscopic hepatectomy (LH) is to control bleeding. The aims of this study were: (i) to assess the bleeding reduction effect by occlusion of the hepatic artery in LH; and (ii) to evaluate the risk of carbon dioxide (CO2 ) gas embolism (GE) in the ...
Kline Timothy L TL Departments of Radiology, Mayo Clinic College of Medicine, Rochester, MN, - - 2014
The liver differs from other organs in that two vascular systems deliver its blood - the hepatic artery and the portal vein. However, how the two systems interact is not fully understood. We therefore studied the microvascular geometry of rat liver hepatic artery and portal vein injected with the contrast ...
Singh Badal B Department of Anatomy, M. L. N. Medical College, Allahabad, Uttar Pradesh, - - 2014
Vascular anomalies are frequently encountered in abdomen. But they are usually asymptomatic and diagnosed accidently during angiography or surgery leading into severe complications. Thus knowledge of angioarchitecture in abdomen, whether normal or variant, is considered prerequisite for successful, uncomplicated surgeries and interventional radiology. This case report describes one of such ...
Ardeleanu V - - 2014
In classical anatomic variants, the proper hepatic artery (PHA)continues the common hepatic artery (CHA) after the gastroduodenal artery (GDA) detaches itself and divides into theright hepatic artery (RHA) and left hepatic artery (LHA), theproper hepatic artery being located to the left of the hepatocholedochalduct (HCD). This paper presents an abnormalpositioning ...
Wan Chih-Chen CC Department of Radiology, Shuang Ho Hospital, Taipei Medical - - 2014
This case focused on a 66-year-old woman, who was a hepatitis B carrier with Barcelona Clinic Liver Cancer stage B hepatocellular carcinoma (HCC). She had a history of left hepatectomy and three transcatheter arterial chemoembolization (TACE) procedures for her recurrent HCCs. Recently, she underwent the fourth course of TACE (a ...
De Baere T T Département de Radiologie Interventionnelle, Institut Gustave-Roussy, 39, rue Camille-Demoulins, 94905 Villejuif, - - 2014
The principle underlying administration of hepatic arterial chemotherapy (HACT) is to increase the local concentration of cytotoxic chemotherapy while limiting systemic toxicity. The chemotherapy agent is infused into the hepatic artery distal to branches that serve the stomach, duodenum, and pancreas. The intra-arterial catheter is connected to a subcutaneously implanted ...
Ogi Takahiro T Department of Radiology, Kanazawa University Graduate School of Medical Science, 13-1 Takaramachi, Kanazawa 920-8640, Japan. Electronic address: - - 2014
To evaluate the feasibility and effectiveness of transcatheter embolization by forcible intraarterial injection of a mixture of ethylene vinyl alcohol copolymer (EVAL) and ethanol under microballoon occlusion compared with conventional transcatheter arterial embolization methods in nontumoral swine liver. Nine swine were divided into three groups: embolization with EVAL/ethanol mixture (EVAL ...
Powerski Maciej J MJ Department of Radiology, Charité - Universitätsmedizin Berlin, Berlin, - - 2014
Prior to radioembolization (RE) treatment of malignant liver lesions, many interventionalists occlude the right gastric artery (RGA), the cystic artery (CA), and the gastroduodenal artery (GDA) to prevent radioactive microspheres from entering non-target vessels. To systematically analyze anatomic variants of arteries that are important to know for the interventional radiologist ...
Ramachandran Priya P Department of Pediatric Surgery, Kanchi Kamakoti Child Trust Hospital and Child Trust Medical Research Foundation, 12A, Nageswara Road, Nungambakkam, Chennai, 600034, India, - - 2014
Congenital arterioportal fistulae in the liver are rare malformations which can lead to portal hypertension. We report a hepatic arterioportal fistula in a neonate who presented with intestinal hypoperfusion. Computerised tomography angiography showed a fistulous communication between the left hepatic artery and portal vein with hypoperfusion of small and large ...
Wang Hong H Department of Ultrasound, West China Hospital of Sichuan University, Chengdu, - - 2014
The rhesus monkey liver disease model provides useful information for hepatic research, as studies of hepatic hemodynamics in humans are rare. A 3-9 MHz high-frequency linear transducer (iU22, Philips Medical Systems, Royal Philips Electronics, The Netherlands) was used to obtain ultrasonograms of the livers of 28 normal rhesus monkeys (16 ...
Mendes Vanessa Marron VM Université Libre de Bruxelles (ULB), 1000 Brussels, - - 2014
The vascular anatomy of the liver is subjected to many variations. Aberrant hepatic artery is not an uncommon finding during visceral surgery; however, topographic variations are less reported in the literature. Prebiliary artery crossing anteriorly to the common hepatic duct was firstly reported in 1984. We present here a case ...
Higashiyama Hiroshi H Department of Surgery, Shinko Hospital, Kobe, Japan. Electronic address: - - 2013
Dissecting hepatic artery aneurysm caused by an isolated spontaneous celiac artery dissection is a life-threatening condition with only 5 cases reported previously. We report a successful resection and revascularization of all affected arteries with an inferior mesenteric vein graft in a 59-year-old asymptomatic man with a large dissecting common and ...
Polguj MichaƂ - - 2013
Familiarity with the different anatomical variations of the arterial supply of the gallbladder and liver is of great importance in all hepatobiliary surgical procedures. A complex anomaly of the hepatobiliary arterial system, which has never been reported before, was found during anatomical dissection of a 73-year-old male Caucasian cadaver. The ...
Morishita Naoki - - 2013
A 48-year-old man with locally advanced pancreatic cancer underwent combined treatment with gemcitabine and proton radiation therapy. Because of subsequent obstruction of the common bile duct, a metallic biliary stent was placed and he received further gemcitabine chemotherapy. During chemotherapy, he developed an acute abdomen with a sudden-onset of tarry ...
Niknam Ramin R Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, - - 2013
Acute cholangitis (AC) is commonly observed in general practice with different causes. We report a case of recurrent AC caused by anomaly of the right hepatic artery, as a rare underlying condition.
Pereira Fernanda Maria Fernández - - 2013
In hepatosplenic schistosomiasis occurs diffuse hepatic fibrosis associated with venous congestion of the portal system resulting in hepatosplenomegaly. It can produce digestive hemorrhage caused by rupture of esophageal and stomach varices or peptic gastroduodenal mucosal lesions. To study the effects of splenectomy and ligature of the left gastric vein on ...
Julka Karan D - - 2013
Liver grafts can at times have two hepatic arterial stumps. This can result in a dilemma whether to reconstruct single or both the arteries. Hepatic artery (HA) thrombosis is the most dreaded complication in pediatric living donor liver transplantation (LDLT) as it can result in biliary complications and subsequent graft ...
Tam Alda L - - 2013
The VX2 rabbit model of liver cancer is commonly used to evaluate the efficacy of locoregional anticancer therapy and knowledge of the hepatic arterial anatomy in the rabbit is important for catheter-directed experiments. To describe the normal anatomy and anatomic variations of the celiac axis and hepatic artery in the ...
Yagi Yoshida Rie - - 2013
Abstract Massive hemobilia caused by hepatic artery pseudoaneurysm is an uncommon but potentially fatal complication that can occur after biliary intervention. Previous intervention or surgery, atherosclerotic disease, inflammation and even anatomic variants may make the pseudoaneurysm inaccessible to transcatheter approach, therefore it is not always feasible. The present report describes ...
Fatic Nikola - - 2013
This paper reviews an interesting but unusual case related to a common hepatic artery aneurysm presented 30 years after Billroth's II resection. A 65 year-old male with epigastric pain 10 kg of weight loss in the final six months was referred at our attention. Computed tomography revealed the presence of ...
Chhabra Rajiv - - 2013
To determine the association of coronary artery calcification with hepatic steatosis in asymptomatic volunteers. The study group comprised 400 asymptomatic volunteers, enrolled from April 1, 2011, to September 30, 2012, without known coronary artery disease who were self-referred for screening noncontrast computed tomography to determine coronary calcium score (CCS). Computed ...
Sofue Keitaro - - 2013
A 68-year-old man with cholangiocarcinoma underwent percutaneous transhepatic portal embolization to expand the indication for hepatic resection. Selective right posterior portography revealed an intrahepatic portosystemic venous shunt (IPSVS) connecting the segment VII branch to the right hepatic venous branch. An infusion of 50 % glucose solution was given to occlude the ...
Akamatsu Nobuhisa - - 2013
Background: Recent advances in liver surgery have highlighted the effect of splenic circulation on hepatic circulation with regard to the hepatic arterial buffer response. The aim of the present study was to investigate the actual hemodynamic effect of splenic artery embolization/ligation and splenectomy on hepatic circulation in an in-vivo experimental ...
Lone Reyaz Ahmed - - 2013
We report on an emergent use of hepatic-to-azygous vein connection using a 10-mm polytetrafluoroethylene graft in a 6-year-old girl who developed acute thrombosis of an extracardiac graft conduit from the hepatic veins to the pulmonary arteries. She had left atrial isomerism, interrupted inferior vena cava with azygous continuation, and had ...
Miraglia Roberto - - 2013
Hepatic artery thrombosis is a major problem after pediatric liver transplantation. Ischemia caused by hepatic artery thrombosis results in severe biliary and parenchymal damage and is associated with high rates of graft loss and mortality. We present a case-based pictorial essay to illustrate the role of minimally invasive treatment in ...
Dinan David - - 2013
Replaced right hepatic artery is a well-described normal anatomical variant, not previously associated with acute or chronic abdominal symptoms or long-term sequelae. We report a 15-year-old girl presenting with nearly a decade of symptoms secondary to external compression of the proximal duodenum by the ventral passage of a replaced right ...
Nayak Satheesha Badagabettu - - 2013
Vascular variations in and around the porta hepatis are common. A sound knowledge of possible variations at these sites is vital for surgeons during laparoscopic cholecystectomy and surgical resection of the liver lobes. We report the case of several variations of the hepatic and cystic arteries in which, the common ...
Marubashi Shigeru - - 2013
In partial liver transplantation, reconstruction of the hepatic artery is technically highly demanding and the incidence of arterial complications is high. We attempted to identify the risk factors for anastomotic complications after hepatic artery reconstruction and examined the role of multidetector-row computed tomography (MDCT) in the evaluation of the reconstructed ...
Kayaci Selim S Department of Neurosurgery, Faculty of Medicine, Recep Tayyip Erdogan University, Rize, Turkey. Electronic address: - - 2013
The purpose of this study is to examine the perforating arteries (PAs) in the proximal part of the posterior inferior cerebellar artery (PICA) for surgical approaches to the brain stem and fourth ventricle, and to stress their importance in microsurgical procedures. Twenty-six adult cadaver obtained from routine autopsies were used. ...
Cavalcante Rafael Noronha - - 2013
Hepatic artery aneurysms are uncommon and account for 20% of visceral aneurysms. Some authors consider endovascular procedures as the first line treatment for most hepatic artery aneurysms, being the conventional surgery reserved for unstable ruptured aneurysms or if the anatomy is unsuitable for endovascular repair. In this report, we describe ...
Odabasi Mehmet - - 2013
Abstract Hepatic artery aneurysms are responsible for 12% to 20% of all visceral arterial aneurysms. Because most patients are asymptomatic, this disease is generally diagnosed incidentally during radiologic examination. Aneurysm rupture develops in 14% to 80% of cases, depending on the aneurysmatic segment's diameter and location, as well as other ...
Wadhwa Surbhi - - 2013
Variations in celiac and hepatic vasculature are common and reported in one in five individuals. We report a rare case of a retroportal proper hepatic artery arising from a celiac trunk with quadruple branching associated with an intraperitoneal duodenum, pancreas and ascending colon. In addition, accessory left hepatic artery arose ...
Munene Gitonga - - 2013
BACKGROUND: The role of portal vein embolization to increase future liver remnant (FLR) is well-established in the treatment of colorectal liver metastases. However, the role of hepatic vein embolization is unclear.Case report: A patient with colorectal liver metastases received neoadjuvant chemotherapy prior to attempted resection. At the time of resection ...
Sebben Geraldo Alberto - - 2013
to demonstrate the minutiae of hepatic arterial system, the incidence of anatomical variations and to compare data obtained from the literature, thus contributing with students and professionals working in this area. We prepared 45 corpses at the Department of Anatomy of the Pontifical Catholic University of Paraná, between July 2010 ...
Wildgruber Moritz - - 2013
Dissection of the common hepatic artery is a rare complication after orthotopic liver transplant. Subsequent thrombosis and occlusion of the transplant artery can result in graft failure requiring retransplant. We describe a case of hepatic artery dissection, occurring on the basis of primary vasculopathy, extending into the celiac trunk, with ...
Smodlaka H - - 2013
The gross anatomical structure of the ringed seal (Pusa hispida) gastrointestinal tract is poorly described and often veterinary anatomical terminology is not used. Although the basic abdominal visceral pattern corresponded to domestic carnivores, significant differences were noted. The stomach was an elongated sharply bent tube (u-shaped) with the pylorus and ...
Lorenz Jonathan M - - 2013
Percutaneous thrombin injection has been described in case reports as an alternative to surgical intervention for the treatment of hepatic artery pseudoaneurysms associated with high-grade liver lacerations in adults. However, there is limited description in the literature of this technique being applied in children, particularly in preadolescents, and no published ...
Ibukuro Kenji - - 2013
OBJECTIVE. The objective of our study was to clarify the hepatic artery anatomy of the left hemiliver using the fusion image of CT angiography (CTA) and CT arterial portography. MATERIALS AND METHODS. CTA and CT arterial portography were performed on a 64-MDCT scanner in 144 patients. All images were transferred ...
Bhatnagar Shorav - - 2013
The authors describe the case of a 44-year-old male with chronic liver disease in whom celiacomesenteric trunk (CMT) was incidentally detected on routine multidetector row computed tomography of abdomen. The CMT (measuring approximately in diameter 12.3 mm) divided into celiac trunk and superior mesenteric artery (SMA) (measuring approximately 7.5 and 7.2 mm, ...
Egorov Vyacheslav I - - 2013
Reported here are two cases of a modified Appleby operation for borderline resectable ductal adenocarcinoma of the pancreatic body, in one of which a R0 distal resection was attended to by excision, not only of the celiac axis, but also of the common and left hepatic arteries in the presence ...
Madhu Y C YC M.S. Ramaiah Curie Centre of Oncology, M.S. Ramaiah Medical College, Bangalore, Karnataka - - 2013
Accessory hepatic artery is an incidental finding during hepatobiliary, pancreatic surgery and may be found during hepatic transplantation surgery on angiogram. This artery should be carefully identified & preserved during these surgeries. A case of accessory right hepatic artery found incidentally during pancreatico duodenectomy [whippels procedure] identified, dissected carefully & ...
Tyan Y-S YS School of Medicine, Chung Shan Medical University, and Department of Medical Imaging, Chung Shan Medical University Hospital, Taichung, - - 2013
To assess the effective dose of the liver C-arm computed tomography (CT) scan during hepatic arterial embolisation surgery with clinical dose-area product (DAP) data from Taiwan. The experiment used two kinds of phantoms: RANDO® Man and RANDO Woman (The Phantom Laboratory, Salem, NY), embedded with thermoluminescent dosemeters at locations according ...
Panaro Fabrizio - - 2013
Arterial revascularization during liver transplantation is normally achieved by anastomosing the graft hepatic artery to the largest artery available at the recipient pedicle-either the common hepatic artery (CHA) or an accessory right hepatic artery (RHA) originating from the superior mesenteric artery (SMA). When a small caliber RHA is present, the ...
Jeon T Y - - 2013
AIM: To investigate the ultrasound findings associated with early liver transplantation (LT) after Kasai portoenterostomy (Kasai) in children with biliary atresia (BA). MATERIALS AND METHODS: Children with BA (n = 30) who underwent Kasai were classified into early LT group (n = 17, LT within 1 year after Kasai) and Kasai alone group (n = 13, ...
Shaikh Amir Y - - 2013
Systolic pulmonary and hepatic vein flow reversals can typically be seen with severe atrioventricular (AV) valve regurgitation and during atrial fibrillation (AF). We report the case of a 67-year-old woman who presented with recent-onset exertional dyspnea. Her pacemaker was near end-of-life and reverted to a VVI mode from the preset ...
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