Efficacy and Safety of Percutaneous Transhepatic Portal Embolization with Dehydrated Ethanol
Ryota Hanaoka1, *, #, Tatsuo Banno1, #, Ryoichi Kato2, Hokuto Akamatsu1, Hiroshi Toyama1
Identifiers and Pagination:Year: 2014
First Page: 22
Last Page: 28
Publisher Id: TOMIJ-8-22
Article History:Received Date: 05/09/2014
Revision Received Date: 10/10/2014
Acceptance Date: 11/10/2014
Electronic publication date: 26/11/2014
Collection year: 2014
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
The efficacy and safety of percutaneous transhepatic portal embolization (PTPE) with dehydrated ethanol was determined by measuring the liver lobe volume before and after the procedure.
Materials and Methods:
A total of 38 patients (25 men, 13 women; mean age: 62.0 ± 10.8 years) who underwent PTPE with dehydrated ethanol between April 2005 and March 2011 participated in this study. Dehydrated ethanol containing 17% lipiodol was injected into the target portal vein branch under balloon occlusion, and the portal vein was subsequently embolized. The liver lobe volume was measured via contrast-enhanced computed tomography, and the percent increase in the unembolized lobe volume was then calculated. In addition, PTPE-related complications were surveyed, and the procedural safety was evaluated.
The mean percent increase in the unembolized lobe volume after PTPE was 33.8% ± 20.2%. The procedure could not be completed in one patient because of an insufficient increase in the unembolized lobe volume. No serious post- PTPE complications were observed.
These data suggest that PTPE with dehydrated ethanol is a safe and effective method for enlarging the planned residual liver volume before extensive liver resection.