Abstract No. 534 Temporary balloon occlusion for hepatic arterial flow redistribution during Y90 radioembolization: a novel technique for treatment of centrally located hepatic tumors

Purpose: The purpose of this study is to quantify hepatic arterial flow (HAF) in liver transplants with splenic steal syndrome (SSS) pre- and post-test balloon occlusion of the splenic artery utilizing Doppler ultrasound (DUS) and quantitative digitally subtracted angiography (Q-DSA). Methods: A total of 193 liver transplants were evaluated retrospectively. Hepatic arterial velocity (HAV) and HAF were calculated utilizing DUS and Q-DSA (i-flow prototype, Siemens) pre- and post-splenic artery balloon occlusion. The rate of HAF increase, total HAF, and peak contrast density (PKD) by Q-DSA were compared with HAF by DUS. Results: Of all, 4 suspected SSS cases underwent test-balloon occlusion with DUS and Q-DSA. Using DUS, HAV and HAF increased by 1.6- to 1.8-fold and 1.7- to 2.6-fold, respectively. Using Q-DSA, the HAF rate, total HAF, and PKD increased by 1.1 to 12.8, 1.5 to 7.6, and 1.3 to 5.3, respectively. Conclusion: Occlusion of the splenic artery in liver transplants with SSS doubles the HAF (+1.7- to 2.6-fold). The Q-DSA parameters correlate qualitatively but overestimate the resultant increased HAF.

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A rare anastomosis between the root of common hepatic artery and proper hepatic artery: implications for pancreaticoduodenectomy

Surgical Case Reports ◽

10.1186/s40792-019-0746-y ◽

2019 ◽

Vol 5 (1) ◽

Cited By ~ 1

Author(s):

Takeshi Morinaga ◽

Katsunori Imai ◽

Keisuke Morita ◽

Kenichiro Yamamoto ◽

Satoshi Ikeshima ◽

...

Keyword(s):

Pancreatic Cancer ◽

Hepatic Artery ◽

Pancreatic Head ◽

Common Hepatic Artery ◽

Arterial Flow ◽

Anastomotic Site ◽

Proper Hepatic Artery ◽

Arterial Reconstruction ◽

Hepatic Arterial Flow ◽

The Common

Abstract Background Hepatic artery anomalies are often observed, and the variations are wide-ranging. We herein report a case of pancreatic cancer involving the common hepatic artery (CHA) that was successfully treated with pancreaticoduodenectomy (PD) without arterial reconstruction, thanks to anastomosis between the root of CHA and proper hepatic artery (PHA), which is a very rare anastomotic site. Case presentation A 78-year-old woman was referred to our department for the examination of a tumor in the pancreatic head. Contrast-enhanced computed tomography (CT) revealed a low-density tumor of 40 mm in diameter located in the pancreatic head. The involvement of the common hepatic artery (CHA), the root of the gastroduodenal artery (GDA), and portal vein was noted. Although such cases would usually require PD with arterial reconstruction of the CHA, it was thought that the hepatic arterial flow would be preserved by the anastomotic site between the root of the CHA and the PHA, even if the CHA was dissected without arterial reconstruction. PD with dissection of the CHA and PHA was safely completed without arterial reconstruction, and sufficient hepatic arterial flow was preserved through the anastomotic site between the CHA and PHA. Conclusion We presented an extremely rare case of an anastomosis between the CHA and PHA in a patient with pancreatic cancer involving the CHA. Thanks to this anastomosis, surgical resection was successfully performed with sufficient hepatic arterial flow without arterial reconstruction.

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Doppler sonography in the posttransplant patient: use of nifedipine to detect hepatic arterial flow.

American Journal of Roentgenology ◽

10.2214/ajr.163.4.8092024 ◽

1994 ◽

Vol 163 (4) ◽

pp. 863-864 ◽

Cited By ~ 4

Author(s):

K P Moresco ◽

R S Shapiro ◽

K P Halton ◽

M A Sadler ◽

S Emre ◽

...

Keyword(s):

Doppler Sonography ◽

Arterial Flow ◽

Hepatic Arterial Flow ◽

Patient Use

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Re: Plantar acceleration time: A novel technique to evaluate arterial flow to the foot.

Annals of Vascular Surgery ◽

10.1016/j.avsg.2021.04.003 ◽

2021 ◽

Author(s):

Jérôme Patry ◽

Maryse Beaumier ◽

François Paquet ◽

Stéphane Turcotte

Keyword(s):

Arterial Flow ◽

Acceleration Time ◽

Novel Technique

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Computed tomography during arterial portography under temporary balloon occlusion of the hepatic artery: evaluation of pseudolesions caused by arterio-portal venous shunts

Abdominal Imaging ◽

10.1007/s0026110000048 ◽

2000 ◽

Vol 25 (6) ◽

pp. 583-586 ◽

Cited By ~ 2

Author(s):

J. Koizumi ◽

T. Kurata ◽

T. Yamashita ◽

M. Kominami ◽

H. Fujiwara ◽

...

Keyword(s):

Computed Tomography ◽

Hepatic Artery ◽

Balloon Occlusion ◽

Arterial Portography ◽

Temporary Balloon Occlusion

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Reduced bleeding through temporary balloon occlusion in hip and knee revision surgery

Acta Orthopaedica Scandinavica ◽

10.1080/00016470052943892 ◽

2000 ◽

Vol 71 (1) ◽

pp. 51-54 ◽

Cited By ~ 9

Author(s):

Gösta Ullmark ◽

Lennart Hovelius ◽

Lars Strindberg ◽

Anders Wallner

Keyword(s):

Revision Surgery ◽

Balloon Occlusion ◽

Knee Revision Surgery ◽

Knee Revision ◽

Temporary Balloon Occlusion

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Temporary balloon occlusion and ethanol injection for preoperative embolization of carotid-body tumor

Ear Nose & Throat Journal ◽

10.1177/014556130208100814 ◽

2002 ◽

Vol 81 (8) ◽

pp. 536-547 ◽

Cited By ~ 18

Author(s):

Michael Horowitz ◽

Richard E. Whisnant ◽

Charles Jungreis ◽

Carl Snyderman ◽

Elad I. Levy ◽

...

Keyword(s):

Carotid Body ◽

Balloon Occlusion ◽

Carotid Body Tumor ◽

Preoperative Embolization ◽

Ethanol Injection ◽

Tumor Embolization ◽

Histologic Evaluation ◽

Carotid Body Tumors ◽

Ethanol Embolization ◽

Temporary Balloon Occlusion

We report on the preoperative embolization of a carotid-body paraganglioma by temporary balloon occlusion and ethanol injection. Complete devascularization was achieved without complication. Resection after a short postembolization interval required artery sacrifice. Histologic evaluation revealed that the tumor contained diffuse ethanol-induced microemboli. Compared with unembolized and polyvinyl-alcohol-embolized carotid-body paragangliomas, our technique resulted in no greater adverse effects on the tumor-vessel interface. This procedure is an effective and promising method of preoperative embolization of carotid-body tumors and warrants further experience and study. In this article, we also review the literature on carotid-body tumor embolization and ethanol embolization.

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