HEPATIC ARTERIAL REDISTRIBUTION FOR INTRA-ARTERIAL INFUSION OF HEPATIC NEOPLASMS
HEPATIC ARTERIAL REDISTRIBUTION FOR INTRA-ARTERIAL INFUSION OF HEPATIC NEOPLASMS
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DOI：
10.1148/radiology.135.2.7367615
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发表时间：
1980-01-01
期刊：
影响因子：
19.7
通讯作者：
WALLACE, S
中科院分区：
文献类型：
--
作者：
CHUANG, VP;WALLACE, S
大约一半的人口存在异常肝动脉。随着选择性动脉内化疗用于治疗肝肿瘤的增加，异常肝动脉成为一个重大障碍。试图通过动脉闭塞将整个肝动脉血流从多条动脉重新分配至单条动脉，以促进输注的效果。本研究评估的 10 名患者中发现 6 处肝动脉变异。 5例患者行迷走左肝动脉栓塞，6例患者行置换肝右动脉栓塞； 1例患者2条肝动脉栓塞。标准栓塞方法使用明胶海绵和线圈来实现肝动脉的近端闭塞。所有病例中均实现了通过肝内侧支的肝血流的重新分配。
An aberrant hepatic artery occurs in approximately half of the population. With increased use of selective intraarterial chemotherapy for hepatic neoplasms, an aberrant hepatic artery becomes a significant obstacle. Occlusion of the artery was attempted to redistribute the entire hepatic arterial flow from multiple arteries to a single artery to facilitate the effect of infusion. There were 6 hepatic artery variations found in the 10 patients evaluated for this study. The aberrant left hepatic artery was embolized in 5 patients, and a replaced right hepatic artery was embolized in 6; 1 patient had embolization of 2 hepatic arteries. The standard embolization method used Gelfoam and a coil to achieve proximal occlusion of the hepatic artery. Redistribution of hepatic flow through intrahepatic collaterals was achieved in all cases.