Semin intervent Radiol 2023; 40(03): 254-257
DOI: 10.1055/s-0043-1769773
Review Article

A Sticky Situation: Glue Migration during Hepatic Vein Embolization

Koustav Pal
1   Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas
,
Joshua D. Kuban
1   Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas
,
Ravi Murthy
1   Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas
,
Bruno C. Odisio
1   Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas
,
Zeyad A. Metwalli
1   Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas
› Institutsangaben

Abstract

The addition of hepatic venous embolization to portal venous embolization to achieve ipsilateral liver venous deprivation before major hepatectomy has been suggested to increase the extent of hypertrophy of the future liver remnant. The presented case discusses a hepatic vein embolization procedure complicated by the unintended migration of a glue cast used to achieve hepatic venous occlusion and subsequent management with endovascular retrieval of the glue cast from the inferior vena cava. The emerging role of hepatic venous embolization and associated complications are also discussed.

Financial Disclosures

None.




Publikationsverlauf

Artikel online veröffentlicht:
20. Juli 2023

© 2023. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 
  • References

  • 1 Madoff DC, Gaba RC, Weber CN, Clark TWI, Saad WE. Portal venous interventions: state of the art. Radiology 2016; 278 (02) 333-353
  • 2 Niekamp AS, Huang SY, Mahvash A. et al. Hepatic vein embolization after portal vein embolization to induce additional liver hypertrophy in patients with metastatic colorectal carcinoma. Eur Radiol 2020; 30 (07) 3862-3868
  • 3 van Lienden KP, van den Esschert JW, de Graaf W. et al. Portal vein embolization before liver resection: a systematic review. Cardiovasc Intervent Radiol 2013; 36 (01) 25-34
  • 4 Guiu B, Chevallier P, Denys A. et al. Simultaneous trans-hepatic portal and hepatic vein embolization before major hepatectomy: the liver venous deprivation technique. Eur Radiol 2016; 26 (12) 4259-4267
  • 5 Heil J, Schadde E. Simultaneous portal and hepatic vein embolization before major liver resection. Langenbecks Arch Surg 2021; 406 (05) 1295-1305
  • 6 Abulkhir A, Limongelli P, Healey AJ. et al. Preoperative portal vein embolization for major liver resection: a meta-analysis. Ann Surg 2008; 247 (01) 49-57
  • 7 May BJ, Madoff DC. Portal vein embolization: rationale, technique, and current application. Semin Intervent Radiol 2012; 29 (02) 81-89
  • 8 Dhaliwal SK, Annamalai G, Gafoor N, Pugash R, Dey C, David EN. Portal vein embolization: correlation of future liver remnant hypertrophy to type of embolic agent used. Can Assoc Radiol J 2018; 69 (03) 316-321
  • 9 Panaro F, Giannone F, Riviere B. et al. Perioperative impact of liver venous deprivation compared with portal venous embolization in patients undergoing right hepatectomy: preliminary results from the pioneer center. Hepatobiliary Surg Nutr 2019; 8 (04) 329-337
  • 10 Kobayashi K, Yamaguchi T, Denys A. et al. Liver venous deprivation compared to portal vein embolization to induce hypertrophy of the future liver remnant before major hepatectomy: a single center experience. Surgery 2020; 167 (06) 917-923
  • 11 Yeom YK, Shin JH. Complications of portal vein embolization: evaluation on cross-sectional imaging. Korean J Radiol 2015; 16 (05) 1079-1085
  • 12 Lal V, Jha PK. Trapping the concrete – a novel technique to manage embolization of bone cement within the inferior vena cava post spinal fusion surgery. Annals of Vascular Surgery Brief Reports and Innovations 2022; 2 (01) 100024
  • 13 Hill H, Chick JFB, Hage A, Srinivasa RN. N-butyl cyanoacrylate embolotherapy: techniques, complications, and management. Diagn Interv Radiol 2018; 24 (02) 98-103