Percutaneous ipsilateral portal vein embolization using a modified four-lumen balloon catheter with fibrin glue: initial clinical experience View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2007-05

AUTHORS

Masaki Gibo, Shinobu Unten, Akira Yogi, Tadashi Nakayama, Yuichirou Ayukawa, Shinji Gibo, Sadayuki Murayama, Makoto Takara, Masayuki Shiraishi

ABSTRACT

PURPOSE: The purpose of the present study was to show the feasibility and safety of ipsilateral portal vein embolization (PVE) using an improved four-lumen balloon catheter with fibrin glue. MATERIALS AND METHODS: To improve the ipsilateral PVE with fibrin glue, we modified a commercially available four-lumen balloon catheter to create a catheter comprising one lumen with a catheter tip for a guidewire, one lumen for an occlusion balloon, and two lumens, each with a side-hole just proximal to the balloon. Eight patients had hepatobiliary disease (three with bile duct carcinoma, two with gallbladder carcinoma, one with hepatocellular carcinoma, one with Caroli disease, and one with metastatic carcinoma). RESULTS: All embolization procedures were technically successful. After embolization, the volume of the future remnant liver increased a mean of 131%. There was no inadvertent embolization of portal vein branches and no major procedure-related complications. CONCLUSION: Our method is potentially easier and safer than the traditional ipsilateral method with fibrin glue using a three-lumen balloon catheter because the fourth lumen makes possible the use of a guidewire to access the targeted portal vein and measurement of any portal vein pressure elevation following PVE via the fourth lumen. More... »

PAGES

164-172

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11604-007-0120-z

DOI

http://dx.doi.org/10.1007/s11604-007-0120-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1009033183

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/17514367


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