Transcatheter Chemoembolization of a Hepatocellular Carcinoma Utilizing Lipiodol through the Pancreaticoduodenal Arcade: A Case Report

2018 ◽  
Vol 2 ◽  
pp. 5
Author(s):  
Scott P Patterson ◽  
Richard G Foster
Keyword(s):  
Hepatocellular Carcinoma ◽  
Case Report ◽  
Vascular Anatomy ◽  
Left Gastric Artery ◽  
Target Lesion ◽  
Celiac Artery ◽  
Small Hepatocellular Carcinoma ◽  
Gastric Artery ◽  
Variant Anatomy ◽  
Pancreaticoduodenal Arcade

This case report describes the chemoembolization of a small hepatocellular carcinoma employing a lipiodol drug delivery system utilizing a novel arterial pathway. Because the target lesion was precariously located adjacent to the inferior heart border and the diaphragm, it was unsuitable for imaging-guided microwave ablation. To achieve chemoembolization, several intraprocedural adaptations were necessary, given the variant anatomy encountered and difficulty accessing the left gastric artery through a celiac artery approach. The left gastric artery was selected from a superior mesenteric artery approach through the pancreaticoduodenal arcade (Rio Branco’s arcade). This case illustrates the importance of a mastery of the vascular anatomy and variants of hepatic arterial flow.

Analysis of the origin of the right inferior phrenic artery in 178 patients with hepatocellular carcinoma treated by chemoembolization via the right inferior phrenic artery

2007 ◽  
Vol 48 (7) ◽  
pp. 728-733 ◽  
Author(s):  
S. Kimura ◽  
M. Okazaki ◽  
H. Higashihara ◽  
Y. Nozaki ◽  
M. Haruno ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Left Gastric Artery ◽  
Celiac Artery ◽  
Gastric Artery ◽  
Inferior Phrenic Artery ◽  
Pancreatic Artery ◽  
Phrenic Artery ◽  
The Right ◽  
Angiographic Findings ◽  
Arterial Chemoembolization

Background: No previous report has described the level of the origin of the right inferior phrenic artery (RIPA) based on an analysis of the relationships between the level of the RIPA, the celiac artery (CA), the superior mesenteric artery (SMA), and the right renal artery (RRA) in a series of cases. Purpose: To evaluate the origin of the RIPA by retrospectively analyzing angiographic findings in 178 patients with hepatocellular carcinoma (HCC) who underwent transcatheter arterial chemoembolization (TACE) via the RIPA. Material and Methods: In patients treated with intraarterial chemoembolization for HCC, additional superselective chemoembolization of the RIPA branches was necessary in 178 cases. We analyzed the level of the origin of the RIPA in these patients according to the relationships between the level of the origin of the RIPA, the CA, the SMA, and the RRA on angiography. Results: Among the 178 cases, the RIPA arose from 1) the aorta directly in 102 cases (57%), 2) the CA in 53 (30%), 3) the left gastric artery (LGA) in three (2%), 4) the dorsal pancreatic artery (DPA) in one (1%), and 5) the RRA in 19 (11%). The level of the origin of the RIPA that originated directly from the aorta was supraceliac in 56 cases (32%), between the CA and the SMA in 31 (17%), and between the SMA and the RRA in 15 (8%). Conclusion: In our study, the RIPA originated from the aorta between the CA and the SMA directly in 17% of cases. When it is difficult to identify the origin of the RIPA, we must keep in mind that the RIPA may originate from the right part of the aorta within the small distance between the SMA and the CA.

scholarly journals Hemorrhagic Gastric Metastasis from Hepatocellular Carcinoma Successfully Treated Using Coil Embolization of the Left Gastric Artery

2019 ◽  
Vol 58 (15) ◽  
pp. 2179-2183
Author(s):  
Michitaka Imai ◽  
Toru Ishikawa ◽  
Marina Okoshi ◽  
Kei Tomiyoshi ◽  
Yuichi Kojima ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Coil Embolization ◽  
Left Gastric Artery ◽  
Gastric Artery ◽  
Gastric Metastasis

scholarly journals Course and branch of the celiac artery in the red falcon (Buteo rufinus)

2010 ◽  
Vol 55 (No. 2) ◽  
pp. 79-86 ◽  
Author(s):  
A. Haligur ◽  
A. Duzler
Keyword(s):  
Left Gastric Artery ◽  
Celiac Artery ◽  
Gastroduodenal Artery ◽  
Terminal Branch ◽  
Gastric Artery ◽  
Pancreaticoduodenal Artery ◽  
Left Branch ◽  
Left And Right ◽  
The Right ◽  
Esophageal Artery

The present study was aimed at determining the origin, course and distribution of the celiac artery in eight adult red falcons, using a latex injection and dissection method. The celiac artery was ascertained to originate from the aorta at the level of the last 2–3 costae. The celiac artery was determined to split into two main branches, namely, left branch of the celiac artery and right branch of the celiac artery, in between the proventriculus and gizzard, and in the proximity of the lien. Prior to the indicated bifurcation, the celiac artery was observed to give off an esophageal artery and superior proventricular artery. In seven of the red falcons examined, splenic arteries, varying from two to four in number, were determined to spring from the celiac artery. Both the left and right hepatic arteries were ascertained to stem from the left branch of the celiac artery. The terminal branch of the left branch of the celiac artery, namely, the left gastric artery, was determined to have a fan-like distribution to the left surface of the gaster. The artery of the gall bladder was demonstrated to emanate from the left branch of the celiac artery in all of the red falcons examined, excluding one. The right branch of the celiac artery was determined to ramify into its terminal branches, namely, the right inferior gastric artery, ileocecal artery, pancreaticoduodenal artery, duodenojejunal artery and gastroduodenal artery, in the proximity of the pylorus which constitutes the gastro-duodenal passage.

scholarly journals Recurrent hydrothorax due to diaphragmatic perforation post hepatocellular carcinoma radiofrequency ablation: A case report

2021 ◽  
Vol 5 (1) ◽  
pp. 013-015
Author(s):  
Aceituno Laia ◽  
Prió Alba ◽  
Ascanio Fernando L ◽  
Serres-Créixams Xavier ◽  
Mínguez Beatríz ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Differential Diagnosis ◽  
Case Report ◽  
Liver Disease ◽  
Radiofrequency Ablation ◽  
Fatty Liver Disease ◽  
Safe Procedure ◽  
Small Hepatocellular Carcinoma ◽  
Fatal Complications ◽  
Uncommon Complication

Radiofrequency ablation is one of the most commonly used therapies for potentially curative small hepatocellular carcinoma. Although radiofrequency is usually a safe procedure, severe and potentially fatal complications can happen. This is a case of a 72 years old woman with cirrhosis secondary to Metabolic Associated Fatty Liver Disease (MAFLD), who presented recurrent hydrothorax after treating hepatocellular carcinoma (HCC) with radiofrequency ablation (RFA), and in which diaphragmatic perforation was subsequently diagnosed. We reviewed the differential diagnosis and management in a pleural effusion after a radiofrequency procedure. Although diaphragmatic perforation is an uncommon complication after RFA procedure, this case aims to help clinicians being aware of non-habitual complications.

Sign in / Sign up

Export Citation Format

Share Document