Techniques in Vascular & Interventional Radiology
Volume 10, Issue 1 , Pages 67-78 , March 2007

Preoperative Portal Vein Embolization: Indications and Technical Considerations

  • Thierry de Baere, MD

      Affiliations

    • Department of Interventional Radiology, Institut Gustave Roussy, Villejuif, France.
    • Corresponding Author InformationAddress reprint requests to: Thierry de Baere, MD, Department of Interventional Radiology, Institut Gustave Roussy, 39 rue Camille Desmoulins, 94805 Villejuif, France.
    • ,
  • Alban Denys, MD

      Affiliations

    • Department of Radiology and Interventional Radiology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
    • ,
  • David C. Madoff, MD

      Affiliations

    • Division of Diagnostic Imaging, Interventional Radiology Section, The University of Texas M. D. Anderson Cancer Center, Houston, TX.

References 

  1. Madoff DC, Abdalla EK, Vauthey JN. Portal vein embolization in preparation for major liver resection: Evolution of a new standard of care. J Vasc Interv Radiol. 2005;16:779–790
  2. Kubota K, Makuuchi M, Kusaka K, et al. Measurement of liver volume and hepatic functional reserve as a guide to decision-making in resectional surgery for hepatic tumors. Hepatology. 1997;26:1176–1181
  3. de Baere T, Roche A, Elias D, et al. Preoperative portal vein embolization for extension of hepatectomy indications. Hepatology. 1996;24:1386–1391
  4. Azoulay D, Castaing D, Krissat J, et al. Percutaneous portal vein embolization increases the feasibility and safety of major liver resection for hepatocellular carcinoma in injured liver. Ann Surg. 2000;232:665–672
  5. Kinoshita H, Sakai K, Hirohasji K, et al. Preoperative portal vein embolization for hepatocellular carcinoma. World J Surg. 1986;10:803–808
  6. de Baere T, Roche A, Vavasseur D, et al. Portal vein embolisation: Utility for inducing left hepatic lobe hypertrophy before surgery. Radiology. 1993;188:73–77
  7. Makuuchi M, Le Thai B, Takayasu K, et al. Preoperative portal embolization to increase safety of major hepatectomy for hilar bile duct carcinoma: A preliminary report. Surgery. 1990;107:521–527
  8. Nagino M, Nimura Y, Kamiya J, et al. Changes in hepatic lobe volume in biliary tract cancer patients after right portal vein embolization. Hepatology. 1995;21:434–439
  9. Nagino M, Nimura Y, Kamiya J, et al. Selective percutaneous transhepatic embolization of the portal vein in preparation for extensive liver resection: The ipsilateral approach. Radiology. 1996;200:559–563
  10. Tsuge H, Mimura H, Kawata N, et al. Right portal embolization before extended right hepatectomy using a laparoscopic catheterization of the ileocolic vein: A prospective study. Surg Laparoscop Endosc. 1994;4:258–263
  11. Perarnau JM, Daradkeh S, Johann M, et al. Transjugular preoperative portal embolization (TJPE) a pilot study. Hepatogastroenterology. 2003;50:610–613
  12. Gibo M, Unten S, Yogi A, et al. Percutaneous ipsilateral portal vein embolization using a modified four-lumen balloon catheter with fibrin glue: Initial clinical experience. Radiat Med. 2007;25:164–172
  13. Matsuoka T. Experimental studies of intrahepatic portal vein embolization and embolic materials. Nippon-Igaku-Hoshasen-Gakkai-Zasshi. 1989;593–606
  14. Yamakado K, Takeda K, Nishide Y, et al. Portal vein embolization with steel coils and absolute ethanol: A comparative experimental study with canine liver. Hepatology. 1995;22:1812–1818
  15. Madoff DC, Abdalla EK, Gupta S, et al. Transhepatic ipsilateral right portal vein embolization extended to segment IV: Improving hypertrophy and resection outcomes with spherical particles and coils. J Vasc Interv Radiol. 2005;16:215–225
  16. Covey AM, Brody LA, Getrajdman GI, et al. Incidence, patterns, and clinical relevance of variant portal vein anatomy. AJR Am J Roentgenol. 2004;183:1055–1064
  17. Farges O, Malassagne B, Flejou JF, et al. Risk of major liver resection in patients with underlying chronic liver disease: A reappraisal. Ann Surg. 1999;229:210–215
  18. Kanematsu T, Furui J, Yanaga K, et al. Measurement of portal venous pressure is useful for selecting the optimal type of resection in cirrhotic patients with hepatocellular carcinoma. Hepatogastroenterology. 2005;52:1828–1831
  19. Di Stefano DR, de Baere T, Denys A, et al. Preoperative percutaneous portal vein embolization: Evaluation of adverse events in 188 patients. Radiology. 2005;234:625;360
  20. Denys A, Lacombe C, Schneider F, et al. Portal vein embolization with N-butyl cyanoacrylate before partial hepatectomy in patients with hepatocellular carcinoma and underlying cirrhosis or advanced fibrosis. J Vasc Interv Radiol. 2005;16:1667–1674
  21. Ogata S, Belghiti J, Farges O, et al. Sequential arterial and portal vein embolizations before right hepatectomy in patients with cirrhosis and hepatocellular carcinoma. Br J Surg. 2006;93:1091–1098
  22. Vauthey JN, Abdalla EK, Doherty DA, et al. Body surface area and body weight predict total liver volume in Western adults. Liver Transpl. 2002;8:233–240
  23. Farges O, Belghiti J, Kianmanesh R, et al. Portal vein embolization before right hepatectomy: Prospective clinical trial. Ann Surg. 2003;237:208–217
  24. Starzl T, Francavilla A, Halgrimson C. The origin, hormonal nature, and action of hepatotrophic substances in portal venous blood. Surg Gynecol Obstet. 1973;137:179–199
  25. Aoki T, Imamura H, Hasegawa K, et al. Sequential preoperative arterial and portal venous embolizations in patients with hepatocellular carcinoma. Arch Surg. 2004;139:766–774
  26. Elias D, Santoro R, Ouellet JF, et al. Simultaneous percutaneous right portal vein embolization and left liver tumor radiofrequency ablation before a major right hepatic resection for bilateral colorectal metastases. Hepatogastroenterology. 2004;51:1788–1791
  27. Elias D, De Baere T, Roche A, et al. During liver regeneration following right portal embolization the growth rate of liver metastases is more rapid than that of the liver parenchyma. Br J Surg. 1999;86:784–788
  28. Ribero D, Abdalla EK, Madoff DC, et al: Portal vein embolization before major hepatectomy and its effects on regeneration, resectability and outcome. Br J Surg (in press)

PII: S1089-2516(07)00075-3

doi: 10.1053/j.tvir.2007.08.003

Techniques in Vascular & Interventional Radiology
Volume 10, Issue 1 , Pages 67-78 , March 2007

Article Tools

* Image Usage & Resolution