棘手的情况：肝静脉栓塞术中胶水迁移
A Sticky Situation: Glue Migration during Hepatic Vein Embolization.
作者信息
Pal Koustav, Kuban Joshua D, Murthy Ravi, Odisio Bruno C, Metwalli Zeyad A
机构信息
Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
出版信息
Semin Intervent Radiol. 2023 Jul 20;40(3):254-257. doi: 10.1055/s-0043-1769773. eCollection 2023 Jun.
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.
摘要
有人提出，在进行大范围肝切除术前，在门静脉栓塞基础上加用肝静脉栓塞以实现同侧肝静脉阻断，可增加未来肝残余体积的肥大程度。本文介绍的病例讨论了肝静脉栓塞过程中发生的并发症，即用于实现肝静脉闭塞的胶铸型意外移位，随后通过血管内技术从下腔静脉取出胶铸型进行处理。文中还讨论了肝静脉栓塞的新作用及相关并发症。
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