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Efficacy of Portal Vein Embolization with a Procedure of Sheath Injection and Balloon Occlusion with Gelatin Sponge

INTRODUCTION: To evaluate the efficacy, safety, and associated complications of a novel and simple approach to portal vein embolization that utilizes sheath injection and balloon occlusion (PVE-SIBO) with gelatin sponge (GS) for the purpose of increasing future liver remnant (FLR) volume. METHODS: B...

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Autores principales: Nozawa, Yosuke, Ashida, Hirokazu, Michimoto, Kenkichi, Kisaki, Shunsuke, Kano, Rui, Ojiri, Hiroya, Ikegami, Toru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Ubiquity Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8428292/
https://www.ncbi.nlm.nih.gov/pubmed/34568747
http://dx.doi.org/10.5334/jbsr.2485
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author Nozawa, Yosuke
Ashida, Hirokazu
Michimoto, Kenkichi
Kisaki, Shunsuke
Kano, Rui
Ojiri, Hiroya
Ikegami, Toru
author_facet Nozawa, Yosuke
Ashida, Hirokazu
Michimoto, Kenkichi
Kisaki, Shunsuke
Kano, Rui
Ojiri, Hiroya
Ikegami, Toru
author_sort Nozawa, Yosuke
collection PubMed
description INTRODUCTION: To evaluate the efficacy, safety, and associated complications of a novel and simple approach to portal vein embolization that utilizes sheath injection and balloon occlusion (PVE-SIBO) with gelatin sponge (GS) for the purpose of increasing future liver remnant (FLR) volume. METHODS: Between 1 January, 2006, and 31 August, 2020, 20 patients (15 men, 5 women, aged 64.6 ± 10.2 years) diagnosed with hepatobiliary malignancy underwent presurgical PVE-SIBO at our institution via a percutaneous transhepatic approach to the right portal vein and embolization of the portal vein with GS. We evaluated the increased ratio of FLR volume, operation duration, recanalization rate, and complications following this procedure. RESULTS: All procedures were successful and without complications such as subcapsular hematoma, intra-abdominal bleeding, and bile leakage. The increased ratio of FLR volume was 34.7 ± 23.7% after a mean of 14.3 ± 2.57 days, and there was a significant difference in the FLR volume before and after PVE (P < 0.01). Procedure time was 52.7 ± 11.4 minutes. CONCLUSION: PVE-SIBO with GS is a simple, effective, and safe procedure to increase the ratio of FLR volume prior to hepatic surgeries.
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spelling pubmed-84282922021-09-24 Efficacy of Portal Vein Embolization with a Procedure of Sheath Injection and Balloon Occlusion with Gelatin Sponge Nozawa, Yosuke Ashida, Hirokazu Michimoto, Kenkichi Kisaki, Shunsuke Kano, Rui Ojiri, Hiroya Ikegami, Toru J Belg Soc Radiol Original Article INTRODUCTION: To evaluate the efficacy, safety, and associated complications of a novel and simple approach to portal vein embolization that utilizes sheath injection and balloon occlusion (PVE-SIBO) with gelatin sponge (GS) for the purpose of increasing future liver remnant (FLR) volume. METHODS: Between 1 January, 2006, and 31 August, 2020, 20 patients (15 men, 5 women, aged 64.6 ± 10.2 years) diagnosed with hepatobiliary malignancy underwent presurgical PVE-SIBO at our institution via a percutaneous transhepatic approach to the right portal vein and embolization of the portal vein with GS. We evaluated the increased ratio of FLR volume, operation duration, recanalization rate, and complications following this procedure. RESULTS: All procedures were successful and without complications such as subcapsular hematoma, intra-abdominal bleeding, and bile leakage. The increased ratio of FLR volume was 34.7 ± 23.7% after a mean of 14.3 ± 2.57 days, and there was a significant difference in the FLR volume before and after PVE (P < 0.01). Procedure time was 52.7 ± 11.4 minutes. CONCLUSION: PVE-SIBO with GS is a simple, effective, and safe procedure to increase the ratio of FLR volume prior to hepatic surgeries. Ubiquity Press 2021-09-09 /pmc/articles/PMC8428292/ /pubmed/34568747 http://dx.doi.org/10.5334/jbsr.2485 Text en Copyright: © 2021 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
spellingShingle Original Article
Nozawa, Yosuke
Ashida, Hirokazu
Michimoto, Kenkichi
Kisaki, Shunsuke
Kano, Rui
Ojiri, Hiroya
Ikegami, Toru
Efficacy of Portal Vein Embolization with a Procedure of Sheath Injection and Balloon Occlusion with Gelatin Sponge
title Efficacy of Portal Vein Embolization with a Procedure of Sheath Injection and Balloon Occlusion with Gelatin Sponge
title_full Efficacy of Portal Vein Embolization with a Procedure of Sheath Injection and Balloon Occlusion with Gelatin Sponge
title_fullStr Efficacy of Portal Vein Embolization with a Procedure of Sheath Injection and Balloon Occlusion with Gelatin Sponge
title_full_unstemmed Efficacy of Portal Vein Embolization with a Procedure of Sheath Injection and Balloon Occlusion with Gelatin Sponge
title_short Efficacy of Portal Vein Embolization with a Procedure of Sheath Injection and Balloon Occlusion with Gelatin Sponge
title_sort efficacy of portal vein embolization with a procedure of sheath injection and balloon occlusion with gelatin sponge
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8428292/
https://www.ncbi.nlm.nih.gov/pubmed/34568747
http://dx.doi.org/10.5334/jbsr.2485
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