Document Detail

Percutaneous ipsilateral portal vein embolization using a modified four-lumen balloon catheter with fibrin glue: initial clinical experience.
MedLine Citation:
PMID:  17514367     Owner:  NLM     Status:  MEDLINE    
PURPOSE: The purpose of the present study was to show the feasibility and safety of ipsilateral portal vein embolization (PVE) using an improved four-lumen balloon catheter with fibrin glue. MATERIALS AND METHODS: To improve the ipsilateral PVE with fibrin glue, we modified a commercially available four-lumen balloon catheter to create a catheter comprising one lumen with a catheter tip for a guidewire, one lumen for an occlusion balloon, and two lumens, each with a side-hole just proximal to the balloon. Eight patients had hepatobiliary disease (three with bile duct carcinoma, two with gallbladder carcinoma, one with hepatocellular carcinoma, one with Caroli disease, and one with metastatic carcinoma). RESULTS: All embolization procedures were technically successful. After embolization, the volume of the future remnant liver increased a mean of 131%. There was no inadvertent embolization of portal vein branches and no major procedure-related complications. CONCLUSION: Our method is potentially easier and safer than the traditional ipsilateral method with fibrin glue using a three-lumen balloon catheter because the fourth lumen makes possible the use of a guidewire to access the targeted portal vein and measurement of any portal vein pressure elevation following PVE via the fourth lumen.
Masaki Gibo; Shinobu Unten; Akira Yogi; Tadashi Nakayama; Yuichirou Ayukawa; Shinji Gibo; Sadayuki Murayama; Makoto Takara; Masayuki Shiraishi
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Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2007-05-28
Journal Detail:
Title:  Radiation medicine     Volume:  25     ISSN:  0288-2043     ISO Abbreviation:  Radiat Med     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-05-21     Completed Date:  2007-07-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8412264     Medline TA:  Radiat Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  164-72     Citation Subset:  IM    
Department of Radiology, Graduate School of Medical Science, University of Ryukyus, 207 Uehara, Nishihara-cho, Okinawa, 903-0215, Japan.
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MeSH Terms
Aged, 80 and over
Balloon Occlusion / adverse effects,  instrumentation*,  methods
Bile Duct Diseases / therapy
Carcinoma / pathology,  secondary,  therapy*
Catheters, Indwelling*
Digestive System Neoplasms / secondary,  therapy*
Equipment Design
Feasibility Studies
Fibrin Tissue Adhesive / administration & dosage,  therapeutic use*
Hemostatics / administration & dosage,  therapeutic use
Liver / blood supply,  pathology
Liver Diseases / therapy
Middle Aged
Nasopharyngeal Neoplasms / pathology*
Portal Vein*
Treatment Outcome
Reg. No./Substance:
0/Fibrin Tissue Adhesive; 0/Hemostatics

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