Document Detail


Celiac artery stenting to facilitate hepatic yttrium-90 radioembolization therapy.
MedLine Citation:
PMID:  23304610     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Radioembolization offers a novel way to treat the nonresectable, liver predominant hepatic malignancies with better tumor response and overall progression-free survival rates. Transarterial catheter-based radioembolization procedure involves the hepatic arterial administration of glass- or resin-based beta emitting Yttirum-90 microspheres. Safe delivery of the tumoricidal radiation dose requires careful angiogram planning and coil embolization to quantify lung shunting and prevent systemic toxicity, respectively. Diagnostic pretreatment angiogram also serves to identify the hepatic arterial variant anatomy and other coexisting pathologies that might require a different or alternative approach. We describe a complex case of celiac artery stenosis with tortuous pancreaticoduodenal arterial arcade precluding access to the right hepatic artery for performing radioembolization. Celiac artery stenting of the stenosis was performed to facilitate subsequent safe and successful Yttrium-90 microsphere radioembolization.
Authors:
Murthy R Chamarthy; Terence W Hughes; Mohit Gupta; Josephina A Vossen; Noel B Velasco; Kenneth M Zinn
Publication Detail:
Type:  Journal Article     Date:  2012-12-06
Journal Detail:
Title:  Case reports in radiology     Volume:  2012     ISSN:  2090-6870     ISO Abbreviation:  Case Rep Radiol     Publication Date:  2012  
Date Detail:
Created Date:  2013-01-10     Completed Date:  2013-01-11     Revised Date:  2014-01-13    
Medline Journal Info:
Nlm Unique ID:  101580187     Medline TA:  Case Rep Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  236732     Citation Subset:  -    
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