Approaches for safe transarterial chemoembolization of multifocal hepatocellular carcinoma with retrograde flow in a retroportal artery
We report a case of an 81-year-old woman with multifocal hepatocellular carcinoma who underwent transarterial chemoembolization. The patient had significant superior mesenteric artery (SMA) ostial stenosis, which led to retrograde flow in the retroportal artery to the SMA. The authors adopted severa...
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| Format: | Article |
| Language: | English |
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Elsevier
2018-02-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S193004331730256X |
| _version_ | 1811233246087741440 |
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| author | Souheil Saddekni, MD, FSIR, FAHA Amr Soliman Moustafa, MD, MSc Sherif Moawad, MD, MSc Khalid Mahmoud, MD Basant Farouk Hamed, MD Ahmed Kamel Abdel-Aal, MD, MSc, PhD, FSIR |
| author_facet | Souheil Saddekni, MD, FSIR, FAHA Amr Soliman Moustafa, MD, MSc Sherif Moawad, MD, MSc Khalid Mahmoud, MD Basant Farouk Hamed, MD Ahmed Kamel Abdel-Aal, MD, MSc, PhD, FSIR |
| author_sort | Souheil Saddekni, MD, FSIR, FAHA |
| collection | DOAJ |
| description | We report a case of an 81-year-old woman with multifocal hepatocellular carcinoma who underwent transarterial chemoembolization. The patient had significant superior mesenteric artery (SMA) ostial stenosis, which led to retrograde flow in the retroportal artery to the SMA. The authors adopted several approaches to avoid potential nontarget embolization that might result from the change in the hemodynamics in the hepatoenteric arteries by initially stenting the SMA ostial stenosis as well as the use of the Surefire infusion system and balloon occlusion for delivery of chemoembolization material to tumors in the hepatic lobes. To our knowledge, the collective use of these approaches to avoid potential risks related to SMA ostial stenosis and retrograde flow in a retroportal artery has not been previously described in the literature. |
| first_indexed | 2024-04-12T11:17:49Z |
| format | Article |
| id | doaj.art-52aede2ef64a4edf81d18d8501949c60 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-12T11:17:49Z |
| publishDate | 2018-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-52aede2ef64a4edf81d18d8501949c602022-12-22T03:35:27ZengElsevierRadiology Case Reports1930-04332018-02-0113117117410.1016/j.radcr.2017.10.019Approaches for safe transarterial chemoembolization of multifocal hepatocellular carcinoma with retrograde flow in a retroportal arterySouheil Saddekni, MD, FSIR, FAHA0Amr Soliman Moustafa, MD, MSc1Sherif Moawad, MD, MSc2Khalid Mahmoud, MD3Basant Farouk Hamed, MD4Ahmed Kamel Abdel-Aal, MD, MSc, PhD, FSIR5Department of Radiology, University of Alabama at Birmingham, Birmingham, AL 35249, USADepartment of Radiology, University of Alabama at Birmingham, Birmingham, AL 35249, USADepartment of Radiology, University of Alabama at Birmingham, Birmingham, AL 35249, USADepartment of Radiology, University of Alabama at Birmingham, Birmingham, AL 35249, USADepartment of Radiology, University of Alabama at Birmingham, Birmingham, AL 35249, USADepartment of Radiology, University of Alabama at Birmingham, Birmingham, AL 35249, USAWe report a case of an 81-year-old woman with multifocal hepatocellular carcinoma who underwent transarterial chemoembolization. The patient had significant superior mesenteric artery (SMA) ostial stenosis, which led to retrograde flow in the retroportal artery to the SMA. The authors adopted several approaches to avoid potential nontarget embolization that might result from the change in the hemodynamics in the hepatoenteric arteries by initially stenting the SMA ostial stenosis as well as the use of the Surefire infusion system and balloon occlusion for delivery of chemoembolization material to tumors in the hepatic lobes. To our knowledge, the collective use of these approaches to avoid potential risks related to SMA ostial stenosis and retrograde flow in a retroportal artery has not been previously described in the literature.http://www.sciencedirect.com/science/article/pii/S193004331730256XSurefire infusion systemRetroportal arteryChemoembolizationRadioembolizationHepatocellular carcinoma |
| spellingShingle | Souheil Saddekni, MD, FSIR, FAHA Amr Soliman Moustafa, MD, MSc Sherif Moawad, MD, MSc Khalid Mahmoud, MD Basant Farouk Hamed, MD Ahmed Kamel Abdel-Aal, MD, MSc, PhD, FSIR Approaches for safe transarterial chemoembolization of multifocal hepatocellular carcinoma with retrograde flow in a retroportal artery Radiology Case Reports Surefire infusion system Retroportal artery Chemoembolization Radioembolization Hepatocellular carcinoma |
| title | Approaches for safe transarterial chemoembolization of multifocal hepatocellular carcinoma with retrograde flow in a retroportal artery |
| title_full | Approaches for safe transarterial chemoembolization of multifocal hepatocellular carcinoma with retrograde flow in a retroportal artery |
| title_fullStr | Approaches for safe transarterial chemoembolization of multifocal hepatocellular carcinoma with retrograde flow in a retroportal artery |
| title_full_unstemmed | Approaches for safe transarterial chemoembolization of multifocal hepatocellular carcinoma with retrograde flow in a retroportal artery |
| title_short | Approaches for safe transarterial chemoembolization of multifocal hepatocellular carcinoma with retrograde flow in a retroportal artery |
| title_sort | approaches for safe transarterial chemoembolization of multifocal hepatocellular carcinoma with retrograde flow in a retroportal artery |
| topic | Surefire infusion system Retroportal artery Chemoembolization Radioembolization Hepatocellular carcinoma |
| url | http://www.sciencedirect.com/science/article/pii/S193004331730256X |
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