Document Detail


Arterial patency after repeated hepatic artery bland particle embolization.
MedLine Citation:
PMID:  20188589     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate hepatic arterial patency after serial bland particle embolization procedures in patients with hepatocellular carcinoma (HCC). MATERIALS AND METHODS: All patients with HCC who underwent five or more hepatic artery bland embolization procedures with permanent particulate and spherical embolic agents between September 1996 and December 2007 were retrospectively reviewed. Data analyzed included patient demographics, vessels embolized, embolic agent used, and duration of arterial patency. RESULTS: Forty-three patients were identified who underwent five or more bland embolization procedures in the same arterial distribution. Of the 43 patients examined, 83% (n = 36) showed no change in the hepatic arterial tree after repeated bland embolization (mean treatment period of 48 months +/- 23). Six patients (13%) exhibited occlusion of a fifth-order or more distal vessel after an average of 5 embolizations +/- 2 over a period of 34 months +/- 27. A single case of vascular occlusion of a fourth-order vessel was observed after five embolizations over a period of 52 months. CONCLUSIONS: Repeated bland embolization of the hepatic arteries in HCC preserves patency of the hepatic arterial vasculature despite the fact that embolization is carried out to complete stasis.
Authors:
Joseph P Erinjeri; Husam M Salhab; Anne M Covey; George I Getrajdman; Karen T Brown
Related Documents :
23713949 - A rare anatomical variation: a case of a common celiacomesenteric trunk in a cat.
25034389 - Endovascular stroke therapy.
8656409 - Gas embolism in obstetrics and gynecology. a review.
8334689 - Bullet embolus from a pulmonary vein to the right axillary artery.
8889379 - Diagnosis and management of paradoxical embolism and patent formen ovale.
24727799 - The long-term follow up of large-diameter dacron® vascular grafts in surgical practice...
15317199 - Motor-vehicle collision-related death due to delayed-onset subarachnoid hemorrhage asso...
21994279 - The myth of the brooks method of embolization: a brief history of the endovascular trea...
20103309 - Impact of endoscopic versus open saphenous vein harvest techniques on outcomes after co...
Publication Detail:
Type:  Clinical Trial; Journal Article     Date:  2010-02-25
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  21     ISSN:  1535-7732     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-29     Completed Date:  2010-07-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  522-6     Citation Subset:  IM    
Copyright Information:
Copyright 2010 SIR. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA. erinjerj@mskcc.org
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Carcinoma, Hepatocellular / radiography,  therapy*
Chemoembolization, Therapeutic / methods*
Dose-Response Relationship, Drug
Female
Hepatic Artery / drug effects*,  radiography
Humans
Liver Neoplasms / radiography,  therapy*
Male
Middle Aged
Polyvinyl Alcohol / administration & dosage*
Treatment Outcome
Vascular Patency*
Young Adult
Chemical
Reg. No./Substance:
9002-89-5/Polyvinyl Alcohol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Covalent Attachment and Dissociative Loss of Sinapinic Acid to/from Cysteine-Containing Proteins fro...
Next Document:  A Metaanalysis of the Effectiveness and Safety of Ozone Treatments for Herniated Lumbar Discs.