Right Gastric Artery Embolization Prior to Treatment with Yttrium-90 Microspheres

doi:10.1007/S00270-006-0028-5

Title: Right Gastric Artery Embolization Prior to Treatment with Yttrium-90 Microspheres

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Abstract

Purpose. Intra-arterial infusion of yttrium-90 microspheres is a form of radiation treatment for unresectable hepatic neoplasms. Misdeposition of particles in the gastroduodenal area such as the right gastric artery (RGA) may occur with serious consequences. We present a series of patients who underwent a detailed vascular study followed by RGA embolization. Special emphasis is placed on anatomic variations and technical considerations .Methods. In a 1 year period, 27 patients were treated. Initial vascular evaluation was performed, with careful attention to anatomic variants or extrahepatic arterial supply, especially to the gastroduodenal area. Embolization of such arteries was planned if needed. RGA embolization was performed antegradely from the hepatic artery or retrogradely via the left gastric artery (LGA). Postprocedural follow-up included clinical interview and gastroscopy if necessary. Results. RGA embolization was performed in 9 patients presenting with primary (n = 3) or metastatic liver tumors (n 6). Six patients underwent antegrade RGA embolization and 3 had embolization done retrogradely via the LGA. Retrograde access was chosen for anatomic reasons. None of the patients complained of gastroduodenal symptoms. Conclusion. RGA embolization can help minimize the gastroduodenal deposition of radioactive particles. RGA embolization should routinely be carried out. The procedure can be performed, withmore »« less

Authors:

Cosin, Octavio; Bilbao, Jose Ignacio ^[1]; Alvarez, Sergio ^[2]; Luis, Esther de; Alonso, Alberto; Martinez-Cuesta, Antonio ^[3]

Clinica Universitaria de Navarra, Departamento de Radiologia (Spain), E-mail: jibilbao@unav.es
Hospital Pablo Tobon Uribe, Servicio de Radiologia (Colombia)
Clinica Universitaria de Navarra, Departamento de Radiologia (Spain)

Publication Date:: Thu Feb 15 00:00:00 EST 2007

OSTI Identifier:: 21091053

Resource Type:: Journal Article

Resource Relation:: Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 30; Journal Issue: 1; Other Information: DOI: 10.1007/s00270-006-0028-5; Copyright (c) 2007 Springer Science+Business Media, Inc.; www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)

Country of Publication:: United States

Language:: English

Subject:: 62 RADIOLOGY AND NUCLEAR MEDICINE; ARTERIES; EVALUATION; INFUSION; LIVER; METASTASES; MICROSPHERES; NEOPLASMS; PATIENTS; SYMPTOMS; YTTRIUM 90

Citation Formats


                    Cosin, Octavio, Bilbao, Jose Ignacio, Alvarez, Sergio, Luis, Esther de, Alonso, Alberto, and Martinez-Cuesta, Antonio. Right Gastric Artery Embolization Prior to Treatment with Yttrium-90 Microspheres.  United States: N. p., 2007. 
        Web.  doi:10.1007/S00270-006-0028-5.

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                    Cosin, Octavio, Bilbao, Jose Ignacio, Alvarez, Sergio, Luis, Esther de, Alonso, Alberto, & Martinez-Cuesta, Antonio. Right Gastric Artery Embolization Prior to Treatment with Yttrium-90 Microspheres.  United States.  doi:10.1007/S00270-006-0028-5.

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                    Cosin, Octavio, Bilbao, Jose Ignacio, Alvarez, Sergio, Luis, Esther de, Alonso, Alberto, and Martinez-Cuesta, Antonio. Thu .  
        "Right Gastric Artery Embolization Prior to Treatment with Yttrium-90 Microspheres".  United States.  
        doi:10.1007/S00270-006-0028-5.

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@article{osti_21091053,

  title        = {Right Gastric Artery Embolization Prior to Treatment with Yttrium-90 Microspheres},

  author       = {Cosin, Octavio and Bilbao, Jose Ignacio and Alvarez, Sergio and Luis, Esther de and Alonso, Alberto and Martinez-Cuesta, Antonio},

  abstractNote = {Purpose. Intra-arterial infusion of yttrium-90 microspheres is a form of radiation treatment for unresectable hepatic neoplasms. Misdeposition of particles in the gastroduodenal area such as the right gastric artery (RGA) may occur with serious consequences. We present a series of patients who underwent a detailed vascular study followed by RGA embolization. Special emphasis is placed on anatomic variations and technical considerations .Methods. In a 1 year period, 27 patients were treated. Initial vascular evaluation was performed, with careful attention to anatomic variants or extrahepatic arterial supply, especially to the gastroduodenal area. Embolization of such arteries was planned if needed. RGA embolization was performed antegradely from the hepatic artery or retrogradely via the left gastric artery (LGA). Postprocedural follow-up included clinical interview and gastroscopy if necessary. Results. RGA embolization was performed in 9 patients presenting with primary (n = 3) or metastatic liver tumors (n 6). Six patients underwent antegrade RGA embolization and 3 had embolization done retrogradely via the LGA. Retrograde access was chosen for anatomic reasons. None of the patients complained of gastroduodenal symptoms. Conclusion. RGA embolization can help minimize the gastroduodenal deposition of radioactive particles. RGA embolization should routinely be carried out. The procedure can be performed, with similar technical success, by both anterograde and retrograde approaches.},

  doi          = {10.1007/S00270-006-0028-5},

  journal      = {Cardiovascular and Interventional Radiology},

  number       = 1,

  volume       = 30,

  place        = {United States},

  year         = {Thu Feb 15 00:00:00 EST 2007},

  month        = {Thu Feb 15 00:00:00 EST 2007}

}

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DOI: 10.1007/S00270-006-0028-5

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