Prophylactic Temporary Occlusion of the Cystic Artery Using a Fibered Detachable Coil During 90Y Radioembolization View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2017-05-12

AUTHORS

Jin Woo Choi, Min Young Yoo, Hyo-Cheol Kim, Jin Chul Paeng, Yoon Jun Kim, Jin Wook Chung

ABSTRACT

PurposeTo address the feasibility of prophylactic temporary occlusion of the cystic artery using a detachable coil during 90Y radioembolization.Materials and MethodsFrom January 2012 to October 2016, nine patients underwent temporary occlusion of the cystic artery during 90Y radioembolization. Based on the planning hepatic angiography, a detachable coil was deployed into the cystic artery, which arose from a more distal level (e.g., right anterior hepatic artery) than its usual origin, but the proximal 1 cm was left inside the microcatheter. 90Y microspheres were infused proximal to the cystic artery where the 99mTc-MAA had been infused, and then the coil was retrieved. Afterward, the patients underwent PET/CT imaging. Medical records were reviewed, and the differences in the uptake of 99mTc-MAA and 90Y microspheres in the gallbladder were evaluated using Wilcoxon’s signed-rank test.ResultsTemporary placement of a detachable coil was feasible in all cases. On the angiograms obtained after detachable coil placement, the distal cystic artery and gallbladder were partially identifiable in eight of the nine (88.8%) patients, but fully restored after the removal of the coils in all cases. The proportional uptake of 99mTc-MAA (mean, 4.35%) and 90Y (mean, 0.90%) in the gallbladder was significantly different due to the temporary occlusion of the cystic artery (p = 0.004). No clinical complications were identified for three months after the procedure.ConclusionTemporary occlusion of the cystic artery using a detachable coil appeared to be feasible and effective in reducing 90Y uptake in the gallbladder. More... »

PAGES

1624-1630

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00270-017-1688-z

DOI

http://dx.doi.org/10.1007/s00270-017-1688-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1085400224

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28500460


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