Portal vein embolization with n-butyl-cyanoacrylate through an ipsilateral approach before major hepatectomy: single center analysis of 50 consecutive patients

Detalhes bibliográficos
Autor(a) principal: Luz, José Hugo Mendes
Data de Publicação: 2017
Outros Autores: Luz, Paula Mendes, Bilhim, Tiago, Martin, Henrique Salas, Gouveia, Hugo Rodrigues, Coimbra, Élia, Gomes, Filipe Veloso, Souza, Roberto Romulo, Faria, Igor Murad, de Miranda, Tiago Nepomuceno
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/25819
Resumo: Department of Interventional Radiology, Radiology Division, National Cancer Institute, INCA, Rio de Janeiro, Brazil
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spelling Luz, José Hugo MendesLuz, Paula MendesBilhim, TiagoMartin, Henrique SalasGouveia, Hugo RodriguesCoimbra, ÉliaGomes, Filipe VelosoSouza, Roberto RomuloFaria, Igor Muradde Miranda, Tiago Nepomuceno2018-04-12T16:01:33Z2018-04-12T16:01:33Z2017LUZ, José Hugo Mendes, et al. Portal vein embolization with n-butylcyanoacrylate through an ipsilateral approach before major hepatectomy: single center analysis of 50 consecutive patients. Cancer Imaging, v. 17, n. 25, 2017.1470-7330https://www.arca.fiocruz.br/handle/icict/2581910.1186/s40644-017-0127-3engBioMed CentralPortal vein embolization with n-butyl-cyanoacrylate through an ipsilateral approach before major hepatectomy: single center analysis of 50 consecutive patientsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleDepartment of Interventional Radiology, Radiology Division, National Cancer Institute, INCA, Rio de Janeiro, BrazilFundação Oswaldo Cruz.Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.Department of Interventional Radiology, Centro Hepato-Bilio-Pancreático e de Transplantação.Hospital Curry Cabral, CHLC, Lisbon, PortugalDepartment of Interventional Radiology, Radiology Division, National Cancer Institute, INCA, Rio de Janeiro, BrazilDepartment of Interventional Radiology, Radiology Division, National Cancer Institute, INCA, Rio de Janeiro, BrazilDepartment of Interventional Radiology, Centro Hepato-Bilio-Pancreático e de Transplantação.Hospital Curry Cabral, CHLC, Lisbon, PortugalDepartment of Interventional Radiology, Centro Hepato-Bilio-Pancreático e de Transplantação.Hospital Curry Cabral, CHLC, Lisbon, PortugalDepartment of Interventional Radiology, Radiology Division, National Cancer Institute, INCA, Rio de Janeiro, BrazilDepartment of Interventional Radiology, Radiology Division, National Cancer Institute, INCA, Rio de Janeiro, BrazilDepartment of Interventional Radiology, Radiology Division, National Cancer Institute, INCA, Rio de Janeiro, BrazilPurpose: To evaluate the efficacy of portal vein embolization (PVE) with n-Butyl-cyanoacrylate (NBCA) through an ipsilateral approach before major hepatectomy. Secondary end-points were PVE safety, liver resection and patient outcome. Methods: Over a 5-year period 50 non-cirrhotic consecutive patients were included with primary or secondary liver cancer treatable by hepatectomy with a liver remnant (FLR) volume less than 25% or less than 40% in diseased livers. Results: There were 37 men and 13 women with a mean age of 57 years. Colorectal liver metastases were the most frequent tumor and patients were previously exposed to chemotherapy. FLR increased from 422 ml to 629 ml (P < 0.001) after PVE, corresponding to anincrease of 52%. The FLR ratio increased from 29.6% to 42.3% (P < 0.001). Kinetic growth rate was 2.98%/week. A negative association was observed between increase in the FLR and FLR ratio and FLR volume before PVE (P = 0.002). In 31 patients hepatectomy was accomplished and only one patient presented with liver insufficiency within 30 days after surgery. Conclusions: PVE with NBCA through an ipsilateral puncture is effective before major hepatectomy. Meticulous attention is needed especially near the end of the embolization procedure to avoid complications.Portal VeinEmbolizationFuture liver remnantExtended hepatectomyHepatic InsufficiencyVeia PortaInsuficiência Hepáticainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/25819/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALve_Jose_Luz_Paula_Luz_etal_INI_Lapclin_2017.pdfve_Jose_Luz_Paula_Luz_etal_INI_Lapclin_2017.pdfapplication/pdf3569382https://www.arca.fiocruz.br/bitstream/icict/25819/2/ve_Jose_Luz_Paula_Luz_etal_INI_Lapclin_2017.pdf9e09b9684ef5052d982e0122ca781317MD52TEXTve_Jose_Luz_Paula_Luz_etal_INI_Lapclin_2017.pdf.txtve_Jose_Luz_Paula_Luz_etal_INI_Lapclin_2017.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv Portal vein embolization with n-butyl-cyanoacrylate through an ipsilateral approach before major hepatectomy: single center analysis of 50 consecutive patients
title Portal vein embolization with n-butyl-cyanoacrylate through an ipsilateral approach before major hepatectomy: single center analysis of 50 consecutive patients
spellingShingle Portal vein embolization with n-butyl-cyanoacrylate through an ipsilateral approach before major hepatectomy: single center analysis of 50 consecutive patients
Luz, José Hugo Mendes
Portal Vein
Embolization
Future liver remnant
Extended hepatectomy
Hepatic Insufficiency
Veia Porta
Insuficiência Hepática
title_short Portal vein embolization with n-butyl-cyanoacrylate through an ipsilateral approach before major hepatectomy: single center analysis of 50 consecutive patients
title_full Portal vein embolization with n-butyl-cyanoacrylate through an ipsilateral approach before major hepatectomy: single center analysis of 50 consecutive patients
title_fullStr Portal vein embolization with n-butyl-cyanoacrylate through an ipsilateral approach before major hepatectomy: single center analysis of 50 consecutive patients
title_full_unstemmed Portal vein embolization with n-butyl-cyanoacrylate through an ipsilateral approach before major hepatectomy: single center analysis of 50 consecutive patients
title_sort Portal vein embolization with n-butyl-cyanoacrylate through an ipsilateral approach before major hepatectomy: single center analysis of 50 consecutive patients
author Luz, José Hugo Mendes
author_facet Luz, José Hugo Mendes
Luz, Paula Mendes
Bilhim, Tiago
Martin, Henrique Salas
Gouveia, Hugo Rodrigues
Coimbra, Élia
Gomes, Filipe Veloso
Souza, Roberto Romulo
Faria, Igor Murad
de Miranda, Tiago Nepomuceno
author_role author
author2 Luz, Paula Mendes
Bilhim, Tiago
Martin, Henrique Salas
Gouveia, Hugo Rodrigues
Coimbra, Élia
Gomes, Filipe Veloso
Souza, Roberto Romulo
Faria, Igor Murad
de Miranda, Tiago Nepomuceno
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Luz, José Hugo Mendes
Luz, Paula Mendes
Bilhim, Tiago
Martin, Henrique Salas
Gouveia, Hugo Rodrigues
Coimbra, Élia
Gomes, Filipe Veloso
Souza, Roberto Romulo
Faria, Igor Murad
de Miranda, Tiago Nepomuceno
dc.subject.en.pt_BR.fl_str_mv Portal Vein
Embolization
Future liver remnant
Extended hepatectomy
Hepatic Insufficiency
topic Portal Vein
Embolization
Future liver remnant
Extended hepatectomy
Hepatic Insufficiency
Veia Porta
Insuficiência Hepática
dc.subject.decs.pt_BR.fl_str_mv Veia Porta
Insuficiência Hepática
description Department of Interventional Radiology, Radiology Division, National Cancer Institute, INCA, Rio de Janeiro, Brazil
publishDate 2017
dc.date.issued.fl_str_mv 2017
dc.date.accessioned.fl_str_mv 2018-04-12T16:01:33Z
dc.date.available.fl_str_mv 2018-04-12T16:01:33Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv LUZ, José Hugo Mendes, et al. Portal vein embolization with n-butylcyanoacrylate through an ipsilateral approach before major hepatectomy: single center analysis of 50 consecutive patients. Cancer Imaging, v. 17, n. 25, 2017.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/25819
dc.identifier.issn.pt_BR.fl_str_mv 1470-7330
dc.identifier.doi.none.fl_str_mv 10.1186/s40644-017-0127-3
identifier_str_mv LUZ, José Hugo Mendes, et al. Portal vein embolization with n-butylcyanoacrylate through an ipsilateral approach before major hepatectomy: single center analysis of 50 consecutive patients. Cancer Imaging, v. 17, n. 25, 2017.
1470-7330
10.1186/s40644-017-0127-3
url https://www.arca.fiocruz.br/handle/icict/25819
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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