Miyazaki Masaya, Shibuya Kei, Tsushima Yoshito, Endo Keigo
Department of Diagnostic and Interventional Radiology, Gunma University Graduate School of Medicine, 3-39-15 Showa-machi, Maebashi, Gunma, Japan.
J Med Case Rep. 2011 Aug 3;5:346. doi: 10.1186/1752-1947-5-346.
Conversion of multiple hepatic arteries into a single vascular supply is a very important technique for repeat hepatic arterial infusion chemotherapy using an implanted port catheter system. Catheterization of a replaced left hepatic artery arising from a left gastric artery using a percutaneous catheter technique is sometimes difficult, despite the recent development of advanced interventional techniques.
We present a case of a 70-year-old Japanese man with multiple hepatocellular carcinomas in whom the replaced left hepatic artery arising from the left gastric artery needed to be embolized. After several failed procedures, the replaced left hepatic artery was successfully catheterized and embolized with a microcatheter and microcoils via the right gastric artery through the anastomosis.
A replaced left hepatic artery arising from a left gastric artery can be catheterized via a right gastric artery by using the appropriate microcatheter and microguidewires, and multiple hepatic arteries can be converted into a single supply.
将多条肝动脉转变为单一血管供应，对于使用植入式端口导管系统进行重复肝动脉灌注化疗而言是一项非常重要的技术。尽管近期先进的介入技术有所发展，但采用经皮导管技术对源自胃左动脉的替代左肝动脉进行插管有时仍很困难。
我们报告一例70岁日本男性患有多发性肝细胞癌，其源自胃左动脉的替代左肝动脉需要进行栓塞。经过几次失败的操作后，通过吻合处经胃右动脉，使用微导管和微线圈成功地对替代左肝动脉进行了插管和栓塞。
通过使用合适的微导管和微导丝，源自胃左动脉的替代左肝动脉可经胃右动脉进行插管，并且多条肝动脉可转变为单一供应。
