Document Detail


The road less traveled: importance of the lesser branches of the celiac axis in liver embolotherapy.
MedLine Citation:
PMID:  22786998     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Effective treatment of unresectable hepatic neoplasms depends on the appropriate identification of tumor arterial supply. Because hepatic tumors derive more than 90% of their blood supply from the hepatic arteries, awareness of common hepatic arterial anatomic variants (eg, replaced or accessory left or right hepatic artery), as well as parasitized collateral vessels originating from the celiac axis (eg, right inferior phrenic, omental, and cystic arteries) that can supply hepatic neoplasms-particularly those with a surface location-is important for safe and effective interventional therapy for these tumors. Moreover, recognition of certain nonhepatic branches arising from the hepatic arterial circulation is important for optimizing transarterial therapy and blocking the passage of treatment particles into sensitive structures, thereby preventing unwanted clinical sequelae such as gastrointestinal ulceration, skin ulceration or pain, and, rarely, ischemic cholecystitis. © RSNA, 2012.
Authors:
Aram J Lee; Antoinette S Gomes; David M Liu; Stephen T Kee; Christopher T Loh; Justin P McWilliams
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiographics : a review publication of the Radiological Society of North America, Inc     Volume:  32     ISSN:  1527-1323     ISO Abbreviation:  Radiographics     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-07-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8302501     Medline TA:  Radiographics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1121-32     Citation Subset:  IM    
Affiliation:
Department of Interventional Radiology, David Geffen School of Medicine at UCLA, 757 Westwood Plaza, Suite 1638, Los Angeles, CA 90095-7437.
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