arterial portography
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2021 ◽  
Vol 6 (3) ◽  
pp. 93-101
Author(s):  
Masashi Tamura ◽  
Seishi Nakatsuka ◽  
Hideyuki Torikai ◽  
Manabu Misu ◽  
Jitsuro Tsukada ◽  
...  


2020 ◽  
Vol 13 (1) ◽  
pp. 92-97
Author(s):  
Ayaka Chiba ◽  
Kohei Harada ◽  
Yoshiya Ohashi ◽  
Kanako Numasawa ◽  
Tatsuya Imai ◽  
...  


2015 ◽  
Vol 21 (5) ◽  
pp. 361-367 ◽  
Author(s):  
Chen-Ju Fu ◽  
Yon-Cheong Wong ◽  
Yuk-Ming Tsang ◽  
Li-Jen Wang ◽  
Huan-Wu Chen ◽  
...  


2014 ◽  
Vol 25 (7) ◽  
pp. 1101-1111.e4 ◽  
Author(s):  
Aukje A.J.M. van Tilborg ◽  
Hester J. Scheffer ◽  
Karin Nielsen ◽  
Jan Hein T.M. van Waesberghe ◽  
Emile F. Comans ◽  
...  


2013 ◽  
Vol 200 (5) ◽  
pp. 1160-1166 ◽  
Author(s):  
Kenji Ibukuro ◽  
Takaya Takeguchi ◽  
Hozumi Fukuda ◽  
Shoko Abe ◽  
Kimiko Tobe ◽  
...  


2013 ◽  
Vol 2013 ◽  
pp. 1-5
Author(s):  
Fumio Chikamori ◽  
Nobutoshi Kuniyoshi

A 67-year-old woman had hepatocellular carcinoma (HCC) measuring 3.7 cm at S8 of the liver with hyperammonemia due to a spontaneous giant mesocaval shunt. Admission laboratory data revealed albumin, 2.9 g/dL; total bilirubin, 1.3 mg/dL; plasma ammonia level (NH3), 152 g/dL; total bile acid (TBA) 108.5 μmoL/L; indocyanine green retention rate at 15 min (ICG15), 63%. Superior mesenteric arterial portography revealed a hepatofugal giant mesocaval shunt, and the portal vein was not visualized. Before surgery, transjugular retrograde obliteration (TJO) for the mesocaval shunt was attempted to normalize the portal blood flow. Via the right internal jugular vein, a 6 F occlusive balloon catheter was inserted superselectively into the mesocaval shunt. The mesocaval shunt was successfully embolized using absolute ethanol and a 50% glucose solution. Eleven days after TJO, NH3, TBA, and ICG15 decreased to 56, 44, and 33, respectively. Superior mesenteric arterial portography after TJO revealed a hepatopetal portal flow. Partial hepatectomy of S8 was performed 25 days after TJO. The subsequent clinical course showed no complications, and the woman was discharged on postoperative day 14. We conclude that the combined therapy of surgery and TJO is an effective means of treating HCC with hyperammonemia due to a spontaneous portosystemic shunt.





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