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Portal vein embolization using an adapted hysterosalpingography catheter.
MedLine Citation:
PMID:  25184773     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Portal vein embolization is an accepted procedure that provides hypertrophy of the future remnant liver in order to reduce post-hepatectomy complications.
AIM: To present a series submitted to portal vein embolization using an adapted hysterosalpingography catheter via transileocolic route.
METHODS: Were performed right portal branch embolization in 19 patients using hysterosalpingography catheter. For embolizing the vessel, was used Gelfoam(r) powder with absolute alcohol solution. Indications for hepatectomy were colorectal liver metastases in all cases.
RESULTS: An adequate growth of the future remnant liver was achieved in 15 patients (78.9%) and second time hepatectomy could be done in 14 (73.7%). In one patient (5.2%), tumor progression prevented surgery. One patient presented acute renal failure after portal embolization.
CONCLUSIONS: The hysterosalpingography catheter is easy to handle and can be introduced into the portal vein with a wire guide. There were no major post-embolization complication. Its use is safe, cheap and effective.
Authors:
Klaus Steinbrück; Jefferson Alves; Reinaldo Fernandes; Marcelo Enne; Lúcio Filgueiras Pacheco-Moreira
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery     Volume:  27     ISSN:  2317-6326     ISO Abbreviation:  Arq Bras Cir Dig     Publication Date:  2014 Sep 
Date Detail:
Created Date:  2014-09-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9100283     Medline TA:  Arq Bras Cir Dig     Country:  Brazil    
Other Details:
Languages:  eng; por     Pagination:  204-5     Citation Subset:  IM    
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