Vascular anomalies of the celiac trunk and implications in treatment of HCC with TACE. Description of a case and review of the literature
Knowledge of the vascular anatomy of the upper abdomen is important in the daily practice of surgeons specialized in the hepatobiliary and pancreatic area, and for general surgeons and radiologists, mainly those involved in interventional radiology. Since anatomical variants of the celiac axis and h...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-10-01
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| Series: | Radiology Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043319302547 |
| _version_ | 1828786274988720128 |
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| author | Silvia Roma, MD Dejanira D'Amato, MD Tiziana Ranalli, MD Vittorio Nardone, MD Cristina Pace, MD Ilaria Lenci, MD Simona Francioso, MD Arianna Brega, MD Tommaso Maria Manzia, MD, PhD Antonio Orlacchio, MD |
| author_facet | Silvia Roma, MD Dejanira D'Amato, MD Tiziana Ranalli, MD Vittorio Nardone, MD Cristina Pace, MD Ilaria Lenci, MD Simona Francioso, MD Arianna Brega, MD Tommaso Maria Manzia, MD, PhD Antonio Orlacchio, MD |
| author_sort | Silvia Roma, MD |
| collection | DOAJ |
| description | Knowledge of the vascular anatomy of the upper abdomen is important in the daily practice of surgeons specialized in the hepatobiliary and pancreatic area, and for general surgeons and radiologists, mainly those involved in interventional radiology. Since anatomical variants of the celiac axis and hepatic arteries are common, an accurate description of vascularization is required before procedures to avoid iatrogenic vascular changes.We reported a case of a young male patient with HBV related cirrhosis, who came to our institution for the treatment of 2 HCC nodules. The preprocedural contrast-enhanced CT examination showed combined variations of celiac trunk, hepatic arteries, gastroduodenal artery, and right inferior phrenic artery. The careful pre- and intraprocedural evaluation of vascularization allowed us to perform transarterial chemoembolization of the 2 nodules without complications.The incidence and developmental and clinical significance of this variation is discussed with a detailed review of the literature. Knowledge of such a case has important clinical significance in abdominal operations or invasive arterial procedures. Keywords: Celiac trunk, Hepatic artery, Gastroduodenal artery, Right inferior phrenic artery, Common hepatic artery absence |
| first_indexed | 2024-12-12T00:07:26Z |
| format | Article |
| id | doaj.art-aa050466910d415286a8fba4054564c5 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-12T00:07:26Z |
| publishDate | 2019-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-aa050466910d415286a8fba4054564c52022-12-22T00:45:04ZengElsevierRadiology Case Reports1930-04332019-10-01141012211227Vascular anomalies of the celiac trunk and implications in treatment of HCC with TACE. Description of a case and review of the literatureSilvia Roma, MD0Dejanira D'Amato, MD1Tiziana Ranalli, MD2Vittorio Nardone, MD3Cristina Pace, MD4Ilaria Lenci, MD5Simona Francioso, MD6Arianna Brega, MD7Tommaso Maria Manzia, MD, PhD8Antonio Orlacchio, MD9Department of Diagnostic and Interventional Radiology, University Hospital Tor Vergata, Viale Oxford 81, Rome 00133, ItalyDepartment of Diagnostic and Interventional Radiology, University Hospital Tor Vergata, Viale Oxford 81, Rome 00133, ItalyDepartment of Diagnostic and Interventional Radiology, University Hospital Tor Vergata, Viale Oxford 81, Rome 00133, ItalyDepartment of Diagnostic and Interventional Radiology, University Hospital Tor Vergata, Viale Oxford 81, Rome 00133, ItalyDepartment of Diagnostic and Interventional Radiology, University Hospital Tor Vergata, Viale Oxford 81, Rome 00133, ItalyLiver Unit, University Hospital Tor Vergata, Viale Oxford 81, Rome 00133, ItalyLiver Unit, University Hospital Tor Vergata, Viale Oxford 81, Rome 00133, ItalyLiver Unit, University Hospital Tor Vergata, Viale Oxford 81, Rome 00133, ItalyTransplant Unit, University Hospital Tor Vergata, Viale Oxford 81, Rome 00133, ItalyDepartment of Diagnostic and Interventional Radiology, University Hospital Tor Vergata, Viale Oxford 81, Rome 00133, Italy; Corresponding author.Knowledge of the vascular anatomy of the upper abdomen is important in the daily practice of surgeons specialized in the hepatobiliary and pancreatic area, and for general surgeons and radiologists, mainly those involved in interventional radiology. Since anatomical variants of the celiac axis and hepatic arteries are common, an accurate description of vascularization is required before procedures to avoid iatrogenic vascular changes.We reported a case of a young male patient with HBV related cirrhosis, who came to our institution for the treatment of 2 HCC nodules. The preprocedural contrast-enhanced CT examination showed combined variations of celiac trunk, hepatic arteries, gastroduodenal artery, and right inferior phrenic artery. The careful pre- and intraprocedural evaluation of vascularization allowed us to perform transarterial chemoembolization of the 2 nodules without complications.The incidence and developmental and clinical significance of this variation is discussed with a detailed review of the literature. Knowledge of such a case has important clinical significance in abdominal operations or invasive arterial procedures. Keywords: Celiac trunk, Hepatic artery, Gastroduodenal artery, Right inferior phrenic artery, Common hepatic artery absencehttp://www.sciencedirect.com/science/article/pii/S1930043319302547 |
| spellingShingle | Silvia Roma, MD Dejanira D'Amato, MD Tiziana Ranalli, MD Vittorio Nardone, MD Cristina Pace, MD Ilaria Lenci, MD Simona Francioso, MD Arianna Brega, MD Tommaso Maria Manzia, MD, PhD Antonio Orlacchio, MD Vascular anomalies of the celiac trunk and implications in treatment of HCC with TACE. Description of a case and review of the literature Radiology Case Reports |
| title | Vascular anomalies of the celiac trunk and implications in treatment of HCC with TACE. Description of a case and review of the literature |
| title_full | Vascular anomalies of the celiac trunk and implications in treatment of HCC with TACE. Description of a case and review of the literature |
| title_fullStr | Vascular anomalies of the celiac trunk and implications in treatment of HCC with TACE. Description of a case and review of the literature |
| title_full_unstemmed | Vascular anomalies of the celiac trunk and implications in treatment of HCC with TACE. Description of a case and review of the literature |
| title_short | Vascular anomalies of the celiac trunk and implications in treatment of HCC with TACE. Description of a case and review of the literature |
| title_sort | vascular anomalies of the celiac trunk and implications in treatment of hcc with tace description of a case and review of the literature |
| url | http://www.sciencedirect.com/science/article/pii/S1930043319302547 |
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