[Prognostic value and possibilities of the treatment of arterio-portal fistula in tumors of the liver].
Angiograms demonstrated arterio-portal shunts in tumors of the liver in 15 patients. Five patients received symptomatic therapy, all of them died from hemorrhage from varicose esophageal veins in the immediate 2 months. Resection of the liver was performed in 4 patients, 3 of them are alive and in a state of remission. Esophageal hemorrhage developed only in 2 of 6 patients who underwent embolization of the hepatic artery. It is concluded that the prognosis is extremely unfavourable in untreated patients with marked arterio-portal shunting in the hepatic tumor. Such patients must be treated surgically or, if inoperable, by radiologically-guided intervention, which makes it possible to normalize portal hemodynamics in most cases and avoid fatal hemorrhage.
Granov
A M
AM
Tarazov
P G
PG
Ryzhkov
V K
VK
D000328:Adult; D001164:Arteriovenous Fistula / Q000209:etiology / Q000628:therapy*; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000379:methods*; D004932:Esophageal and Gastric Varices / Q000209:etiology; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006499:Hepatic Artery; D006801:Humans; D008113:Liver Neoplasms / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D011169:Portal Vein; D011379:Prognosis
Prognosticheskoe znachenie i vozmozhnosti lecheniia arterioportal'nykh fistul pri opukholiakh pecheni.