title: [The efficacy of transcatheter embolization of severe arterioportal shunts in hepatocellular carcinoma].
abstract: Transcatheter arterial embolizations of severe arterioportal shunt (A-P shunt) were performed with steel coils in 3 patients with hepatocellurlar carcinoma (HCC) as shown below. Case 1: A 56-year-old man with HCC associated with portal hypertension (esophageal varices and ascites abnominal pain), portal vein tumor thrombus and severe A-P shunt was performed in critical conditions. Case 2: A 51-year-old man with HCC, lung and adrenal gland metastases was accompanied with severe portal hypertention caused by A-P shunt and was in a harmful condition similar to case 1. Case 3: A 68-year-old woman with HCC associated with autoimmune hepatitis was performed a hepatic resection. Then multiple intrahepatic recurrences appeared 6 months later. A-P shunt made impossible to detect the feeding artery of tumor. After embolization of A-P shunt, esophageal varices and ascites resolved, and abdominal pain improved in cases 1 and 2. In addition, embolization enabled to perform transcatheter arterial chemoembolization in case 3. This procedure is a useful tool to improve various symptoms due to A-P shunt and to continue treatments for HCCs.
authors.affiliation: Dept. of Gastroenterological Surgery, Faculty of Medical and Pharmaceutical Sciences, Kumamoto University.
authors.forename: Yukiharu
authors.initials: Y
authors.lastname: Hiyoshi
authors.forename: Toru
authors.initials: T
authors.lastname: Beppu
authors.forename: Kazutoshi
authors.initials: K
authors.lastname: Okabe
authors.forename: Hiromitsu
authors.initials: H
authors.lastname: Hayashi
authors.forename: Toshiro
authors.initials: T
authors.lastname: Masuda
authors.forename: Hirohisa
authors.initials: H
authors.lastname: Okabe
authors.forename: Takao
authors.initials: T
authors.lastname: Mizumoto
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Komori
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Tanaka
authors.forename: Kei
authors.initials: K
authors.lastname: Horino
authors.forename: Takatoshi
authors.initials: T
authors.lastname: Ishiko
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Takamori
authors.forename: Masahiko
authors.initials: M
authors.lastname: Hirota
authors.forename: Hideo
authors.initials: H
authors.lastname: Baba
mesh_terms: D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000098:blood supply* / Q000473:pathology / Q000601:surgery*; D002404:Catheterization / Q000379:methods*; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000098:blood supply* / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D014057:Tomography, X-Ray Computed