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Title: Double-Balloon-Assisted n-Butyl-2-Cyanoacrylate Embolization of Intrahepatic Arterioportal Shunt Prior to Chemoembolization of Hepatocellular Carcinoma

Abstract

A case of multiple hepatocellular carcinomas with a severe intrahepatic arterioportal shunt that was successfully embolized with n-butyl-2-cyanoacrylate with coaxial double-balloon occlusion prior to transcatheter arterial chemoembolization is presented. A proximal balloon positioned at the proper hepatic artery was used for flow control, and a coaxial microballoon, positioned in the closest of three arterial feeding branches to the arterioportal shunt, was used to control the delivery of n-butyl-2-cyanoacrylate. This coaxial double-balloon technique can prevent proximal embolization and distal migration of n-butyl-2-cyanoacrylate and enable precise control of the distribution of n-butyl-2-cyanoacrylate. It could also be applicable to n-butyl-2-cyanoacrylate embolization for other than intrahepatic arterioportal shunt.

Authors:
; ;  [1]
  1. University of Tokyo, Department of Radiology, Graduate School of Medicine (Japan)
Publication Date:
OSTI Identifier:
22645421
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 39; Journal Issue: 10; Other Information: Copyright (c) 2016 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ARTERIES; BALLOONS; BYPASSES; FEEDING; HEPATOMAS; LIVER; VASCULAR DISEASES

Citation Formats

Takao, Hidemasa, E-mail: takaoh-tky@umin.ac.jp, Shibata, Eisuke, and Ohtomo, Kuni. Double-Balloon-Assisted n-Butyl-2-Cyanoacrylate Embolization of Intrahepatic Arterioportal Shunt Prior to Chemoembolization of Hepatocellular Carcinoma. United States: N. p., 2016. Web. doi:10.1007/S00270-016-1377-3.
Takao, Hidemasa, E-mail: takaoh-tky@umin.ac.jp, Shibata, Eisuke, & Ohtomo, Kuni. Double-Balloon-Assisted n-Butyl-2-Cyanoacrylate Embolization of Intrahepatic Arterioportal Shunt Prior to Chemoembolization of Hepatocellular Carcinoma. United States. doi:10.1007/S00270-016-1377-3.
Takao, Hidemasa, E-mail: takaoh-tky@umin.ac.jp, Shibata, Eisuke, and Ohtomo, Kuni. Sat . "Double-Balloon-Assisted n-Butyl-2-Cyanoacrylate Embolization of Intrahepatic Arterioportal Shunt Prior to Chemoembolization of Hepatocellular Carcinoma". United States. doi:10.1007/S00270-016-1377-3.
@article{osti_22645421,
title = {Double-Balloon-Assisted n-Butyl-2-Cyanoacrylate Embolization of Intrahepatic Arterioportal Shunt Prior to Chemoembolization of Hepatocellular Carcinoma},
author = {Takao, Hidemasa, E-mail: takaoh-tky@umin.ac.jp and Shibata, Eisuke and Ohtomo, Kuni},
abstractNote = {A case of multiple hepatocellular carcinomas with a severe intrahepatic arterioportal shunt that was successfully embolized with n-butyl-2-cyanoacrylate with coaxial double-balloon occlusion prior to transcatheter arterial chemoembolization is presented. A proximal balloon positioned at the proper hepatic artery was used for flow control, and a coaxial microballoon, positioned in the closest of three arterial feeding branches to the arterioportal shunt, was used to control the delivery of n-butyl-2-cyanoacrylate. This coaxial double-balloon technique can prevent proximal embolization and distal migration of n-butyl-2-cyanoacrylate and enable precise control of the distribution of n-butyl-2-cyanoacrylate. It could also be applicable to n-butyl-2-cyanoacrylate embolization for other than intrahepatic arterioportal shunt.},
doi = {10.1007/S00270-016-1377-3},
journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 10,
volume = 39,
place = {United States},
year = {2016},
month = {10}
}