| Use of double-occlusion balloon catheter: preoperative portal vein embolization for induction of future remnant liver hypertrophy. | |
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MedLine Citation:
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PMID: 15109222 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To evaluate the efficacy and safety of using double-occlusion balloon catheters in preoperative portal vein embolization (PVE) to induce future remnant liver hypertrophy. MATERIALS AND METHODS: PVE was achieved with gelatin sponges by using double-occlusion balloon catheter in seventeen patients with hepatobiliary malignant tumors. The ipsilateral approach was used in thirteen patients and the contralateral approach in four patients due to large size of tumor in the right hepatic lobe. Surgery was performed in 15 patients, 14-27 days (mean, 21.9 days) after PVE. Computed tomographic liver volumetric studies were performed before embolization and before surgery. The changes in aspartate aminotransferase (AST), alanine aminotransferase (ALT), prothrombin time (PT), and total bilirubin levels before and after the PVE were evaluated. Complications were evaluated after PVE. RESULTS: PVE using double-occlusion balloon catheter was successful in all cases, irrespective of approach technique. The future remnant liver (FRL) volumes were 251-920 cm3 (mean, 437 cm3) before PVE and 281-1042 cm3 (mean, 555 cm3) after PVE. The mean increase in the volume of the FRL was 28.6%; this represented 37% of the preresection volume of the liver. Clinical and biologic tolerance of PVE was mandatory. There were no complications. CONCLUSIONS: PVE using the double-occlusion balloon catheter is safe and well-tolerated and can be performed technically with ease. This hypertrophy allows hepatectomy to be performed safely when the FRL volume is initially insufficient in patients with hepatobiliary tumors. |
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Authors:
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Min Joo Kim; Sung Wook Choo; Young Soo Do; Kwang Bo Park; Yoon Hee Han; In Wook Choo; Jae Min Cho; Jae Won Cho; Sung Joo Kim; Tae Sung Sohn |
Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: Cardiovascular and interventional radiology Volume: 27 ISSN: 0174-1551 ISO Abbreviation: Cardiovasc Intervent Radiol Publication Date: 2004 Jan-Feb |
Date Detail:
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Created Date: 2004-04-27 Completed Date: 2004-11-08 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8003538 Medline TA: Cardiovasc Intervent Radiol Country: United States |
Other Details:
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Languages: eng Pagination: 16-20 Citation Subset: IM |
Affiliation:
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Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-Dong, Kangnam-Ku, Seoul, 135-710, Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Alanine Transaminase / blood Aspartate Aminotransferases / blood Balloon Occlusion / instrumentation* Bile Duct Neoplasms / therapy Biological Markers / blood Carcinoma, Hepatocellular / therapy Catheters, Indwelling* Cholangiocarcinoma / therapy Equipment Design Female Hepatic Duct, Common / pathology Humans Hypertrophy / therapy Klatskin's Tumor / therapy Liver / blood supply, pathology, surgery Liver Neoplasms / therapy Male Middle Aged Portal Vein / surgery Prothrombin Time Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Biological Markers; EC 2.6.1.1/Aspartate Aminotransferases; EC 2.6.1.2/Alanine Transaminase |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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