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Disastrous Portal Vein Embolization Turned into a Successful Intervention

Dobrocky, Tomas ; Kettenbach, Joachim ; Lopez-Benitez, Ruben ; Kara, Levent

In: CardioVascular and Interventional Radiology, 2015, vol. 38, no. 5, p. 1365-1368

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    Titre
    • Disastrous Portal Vein Embolization Turned into a Successful Intervention
    Auteur
    • Dobrocky, Tomas. Department of Interventional, Pediatric and Diagnostic Radiology, Inselspital, University Hospital, University of Bern, Freiburgstrasse 10, 3010, Bern, Switzerland
    • Kettenbach, Joachim. Institute of Medical Radiology, Diagnostic, Intervention, Universitätsklinikum St. Pölten-Lilienfeld, Propst Führer-Straße 4, 3100, St. Pölten, Austria
    • Lopez-Benitez, Ruben. Department of Interventional, Pediatric and Diagnostic Radiology, Inselspital, University Hospital, University of Bern, Freiburgstrasse 10, 3010, Bern, Switzerland
    • Kara, Levent. Department of Interventional, Pediatric and Diagnostic Radiology, Inselspital, University Hospital, University of Bern, Freiburgstrasse 10, 3010, Bern, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • CardioVascular and Interventional Radiology, 2015, vol. 38, no. 5, p. 1365-1368. Springer US; http://www.springer-ny.com
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:331684
    Summary
    Portal vein embolization (PVE) may be performed before hemihepatectomy to increase the volume of future liver remnant (FLR) and to reduce the risk of postoperative liver insufficiency. We report the case of a 71-year-old patient with hilar cholangiocarcinoma undergoing PVE with access from the right portal vein using a mixture of n-butyl-2-cyanoacrylate and ethiodized oil. During the procedure, nontarget embolization of the left portal vein occurred. An aspiration maneuver of the polymerized plug failed; however, the embolus obstructing portal venous flow in the FLR was successfully relocated into the right portal vein while carefully bypassing the plug with a balloon catheter, inflating the balloon, and pulling the plug into the main right portal vein.