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CardioVascular and Interventional Radiology

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01-10-2015 | Letter to the Editor

Disastrous Portal Vein Embolization Turned into a Successful Intervention

Authors: Tomas Dobrocky, Joachim Kettenbach, Ruben Lopez-Benitez, Levent Kara

Published in: CardioVascular and Interventional Radiology | Issue 5/2015

Abstract

Portal vein embolization (PVE) may be performed before hemihepatectomy to increase the volume of future liver remnant (FLR) and to reduce the risk of postoperative liver insufficiency. We report the case of a 71-year-old patient with hilar cholangiocarcinoma undergoing PVE with access from the right portal vein using a mixture of n-butyl-2-cyanoacrylate and ethiodized oil. During the procedure, nontarget embolization of the left portal vein occurred. An aspiration maneuver of the polymerized plug failed; however, the embolus obstructing portal venous flow in the FLR was successfully relocated into the right portal vein while carefully bypassing the plug with a balloon catheter, inflating the balloon, and pulling the plug into the main right portal vein.

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Title: Disastrous Portal Vein Embolization Turned into a Successful Intervention
Authors: Tomas Dobrocky
Joachim Kettenbach
Ruben Lopez-Benitez
Levent Kara
Publication date: 01-10-2015
Publisher: Springer US
Published in: CardioVascular and Interventional Radiology / Issue 5/2015
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-014-0985-z

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Disastrous Portal Vein Embolization Turned into a Successful Intervention

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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