[The efficacy of transcatheter embolization of severe arterioportal shunts in hepatocellular carcinoma].
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.
Hiyoshi
Yukiharu
Y
Dept. of Gastroenterological Surgery, Faculty of Medical and Pharmaceutical Sciences, Kumamoto University.
Beppu
Toru
T
Okabe
Kazutoshi
K
Hayashi
Hiromitsu
H
Masuda
Toshiro
T
Okabe
Hirohisa
H
Mizumoto
Takao
T
Komori
Hiroyuki
H
Tanaka
Hiroshi
H
Horino
Kei
K
Ishiko
Takatoshi
T
Takamori
Hiroshi
H
Hirota
Masahiko
M
Baba
Hideo
H
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