scholarly journals Portal vein arterialization: a salvage procedure for a totally de-arterialized liver. The Paul Brousse Hospital experience

HPB ◽  
2014 ◽  
Vol 16 (8) ◽  
pp. 723-738 ◽  
Author(s):  
Prashant Bhangui ◽  
Chady Salloum ◽  
Chetana Lim ◽  
Paola Andreani ◽  
Arie Ariche ◽  
...  
Keyword(s):  
Portal Vein ◽  
Salvage Procedure ◽  
Portal Vein Arterialization ◽  
Hospital Experience

scholarly journals Portal vein arterialization as a salvage procedure in hepatopancreatobiliary surgery: a systematic review

2021 ◽  
Vol 64 (2) ◽  
Author(s):  
Ali Majlesara ◽  
Omid Ghamarnejad ◽  
Elias Khajeh ◽  
Mohammad Golriz ◽  
Negin Gharabaghi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Portal Hypertension ◽  
Portal Vein ◽  
Animal Studies ◽  
Survival Rates ◽  
Celiac Trunk ◽  
Salvage Procedure ◽  
Portal Vein Arterialization ◽  
Hepatopancreatobiliary Surgery ◽  
Meta Analyses

Background: Portal vein arterialization (PVA) is a possible option when hepatic artery reconstruction is impossible during liver resection. The aim of this study was to review the literature on the clinical application of PVA in hepatopancreatobiliary (HPB) surgery. Methods: We performed a systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We systematically searched the PubMed, Embase and Web of Science databases until December 2019. Experimental (animal) studies, review articles and letters were excluded. Results: Twenty studies involving 57 patients were included. Cholangiocarcinoma was the most common indication for surgery (40 patients [74%]). An end-to-side anastomosis between a celiac trunk branch and the portal vein was the main PVA technique (35 patients [59%]). Portal hypertension was the most common longterm complication (12 patients [21%] after a mean of 4.1 mo). The median followup period was 12 (range 1–87) months. The 1-, 3- and 5-year survival rates were 64%, 27% and 20%, respectively. Conclusion: Portal vein arterialization can be considered as a rescue option to improve the outcome in patients with acute liver de-arterialization when arterial reconstruction is not possible. To prevent portal hypertension and liver injuries due to thrombosis or overarterialization, vessel calibre adjustment and timely closure of the anastomosis should be considered. Further prospective experimental and clinical studies are needed to investigate the potential of this procedure in patients whose liver is suddenly de-arterialized during HPB procedures.

Portal Vein Arterialization as a Salvage Procedure During Left Hepatic Trisectionectomy for Hilar Cholangiocarcinoma

2008 ◽  
Vol 207 (5) ◽  
pp. e1-e6 ◽  
Author(s):  
Alastair L. Young ◽  
K. Rajendra Prasad ◽  
Robert Adair ◽  
Mohammed Abu Hilal ◽  
J. Ashley Guthrie ◽  
...  
Keyword(s):  
Portal Vein ◽  
Hilar Cholangiocarcinoma ◽  
Salvage Procedure ◽  
Portal Vein Arterialization ◽  
Left Hepatic Trisectionectomy

scholarly journals Portal vein arterialization for iatrogenic embolization of the hepatic artery. An old but still useful technique?

2020 ◽  
Vol 71 ◽  
pp. 91-94
Author(s):  
Tim Reese ◽  
York von Rittberg ◽  
Karl J. Oldhafer
Keyword(s):  
Portal Vein ◽  
Hepatic Artery ◽  
Portal Vein Arterialization

scholarly journals Multidisciplinary treatment of left hepatic artery pseudoaneurysm after hepatobiliary resection for gallbladder cancer: a case report

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Ryusei Yamamoto ◽  
Teiichi Sugiura ◽  
Yukiyasu Okamura ◽  
Takaaki Ito ◽  
Yusuke Yamamoto ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Portal Vein ◽  
Liver Failure ◽  
Hepatic Artery ◽  
Remnant Liver ◽  
Left Hepatic Artery ◽  
Artery Pseudoaneurysm ◽  
Hepatobiliary Resection ◽  
Portal Vein Arterialization ◽  
Arterial Inflow

Abstract Background When a postoperative hepatic artery pseudoaneurysm develops after massive hepatectomy, both an intervention for the pseudoaneurysm and patency of hepatic artery should be considered because occlusion of the residual hepatic artery results in critical liver failure. However, the treatment strategy for a pseudoaneurysm of the hepatic artery after hepatobiliary resection is not well established. Case presentation A 65-year-old woman underwent right hepatectomy, extrahepatic duct resection, and portal vein resection, for gallbladder cancer. Although the patient had an uneventful postoperative course, computed tomography on postoperative day 6 showed a 6-mm pseudoaneurysm of the hepatic artery. Angiography revealed the pseudoaneurysm located on the bifurcation of the left hepatic artery to the segment 2 artery plus the segment 3 artery and 4 artery. Stent placement in the left hepatic artery was not feasible because the artery was too narrow, and coiling of the pseudoaneurysm was associated with a risk of occluding the left hepatic artery and inducing critical liver failure. Therefore, portal vein arterialization constructed by anastomosing the ileocecal artery and vein was performed prior to embolization of the pseudoaneurysm to maintain the oxygen level of the remnant liver, even if the left hepatic artery was accidentally occluded. The pseudoaneurysm was selectively embolized without occlusion of the left hepatic artery, and the postoperative laboratory data were within normal limits. Although uncontrollable ascites due to portal hypertension occurred, embolization of the ileocolic shunt rapidly resolved it. The patient was discharged on postoperative day 45. Conclusion Portal vein arterialization prior to embolization of the aneurysm may be a feasible therapeutic strategy for a pseudoaneurysm that develops after hepatectomy for hepatobiliary malignancy to guarantee arterial inflow to the remnant liver. Early embolization of arterioportal shunting after confirmation of arterial inflow to the liver should be performed to prevent morbidity induced by portal hypertension.

Portacaval Shunt with Portal Vein Arterialization

1979 ◽  
Vol 14 (9) ◽  
pp. 88-94 ◽  
Author(s):  
Roland J. Adamsons
Keyword(s):  
Portal Vein ◽  
Portacaval Shunt ◽  
Portal Vein Arterialization

Successful Treatment of CCl4-Induced Acute Liver Failure With Portal Vein Arterialization in the Rat

2006 ◽  
Vol 135 (2) ◽  
pp. 394-401 ◽  
Author(s):  
Bruno Nardo ◽  
Paolo Caraceni ◽  
Lorenza Puviani ◽  
Anna Maria Pertosa ◽  
Marco Domenicali ◽  
...  
Keyword(s):  
Portal Vein ◽  
Liver Failure ◽  
Acute Liver Failure ◽  
Successful Treatment ◽  
Portal Vein Arterialization

scholarly journals In situ split plus portal vein ligation (ISLT) – a salvage procedure following inefficient portal vein embolization to gain adequate future liver remnant volume prior to extended liver resection

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Nadja Lehwald-Tywuschik ◽  
Sascha Vaghiri ◽  
Jan Schulte am Esch ◽  
Salman Alaghmand ◽  
Yan Klosterkemper ◽  
...  
Keyword(s):  
Portal Vein ◽  
Future Liver Remnant ◽  
Portal Vein Ligation ◽  
Salvage Procedure ◽  
Liver Remnant ◽  
Extended Liver Resection ◽  
Future Liver Remnant Volume ◽  
Liver Remnant Volume ◽  
In Situ Split

scholarly journals The stand of portal vein arterialization in hepatobiliary surgery: a systematic review

HPB ◽  
2018 ◽  
Vol 20 ◽  
pp. S463
Author(s):  
A. Majlesara ◽  
M. Golriz ◽  
O. Ghamarnejad ◽  
E. Khajeh ◽  
A. Mehrabi
Keyword(s):  
Systematic Review ◽  
Portal Vein ◽  
Hepatobiliary Surgery ◽  
Portal Vein Arterialization
Sign in / Sign up

Export Citation Format

Share Document