title: No infectious hepatic complications following radioembolization with 90Y microspheres in patients with biliodigestive anastomosis.
abstract: OBJECTIVE
  To retrospectively evaluate infectious hepatic complications of transarterial radioembolization (RE) of the liver in patients with pre-existing biliodigestive anastomosis.
  
  
  METHODS
  Patients who underwent RE were retrospectively analyzed. All patients had at least a contrast-enhanced magnetic resonance imaging or contrast-enhanced triple-phase computed tomographic scan before and 6-8 weeks after RE.
  
  
  RESULTS
  Overall, 143 patients (67 women, 76 men; median age = 65 ± 11.2 years) were analyzed. Nine patients had a biliodigestive anastomosis. The complications were as follows: one case of cholecystitis, three of gastroduodenal ulcer with one ulcer perforation, and six of radioembolization-induced liver disease. There were no infectious complications. There were no major or minor complications in the group with previous biliodigestive anastomosis.
  
  
  CONCLUSIONS
  Pre-existing bilioenteric anastomoses are not a negative predictive factor for the development of infectious hepatic complications after RE. RE with (90)Y microspheres can be safely performed following careful patient selection.
authors: Department of Diagnostic and Interventional Radiology, Charité Campus Virchow, Berlin, Germany dominik.geisel@charite.de.
authors: Dominik
authors: D
authors: Geisel
authors: Department of Diagnostic and Interventional Radiology, Charité Campus Virchow, Berlin, Germany.
authors: Maciej-Janusz
authors: MJ
authors: Powerski
authors: Department of Diagnostic and Interventional Radiology, Charité Campus Virchow, Berlin, Germany.
authors: Dirk
authors: D
authors: Schnapauff
authors: Department of Diagnostic and Interventional Radiology, Charité Campus Virchow, Berlin, Germany.
authors: Federico
authors: F
authors: Collettini
authors: Department of Diagnostic and Interventional Radiology, Charité Campus Virchow, Berlin, Germany.
authors: Regina
authors: R
authors: Thiel
authors: Department of Diagnostic and Interventional Radiology, Charité Campus Virchow, Berlin, Germany.
authors: Timm
authors: T
authors: Denecke
authors: Department of Diagnostic and Interventional Radiology, Charité Campus Virchow, Berlin, Germany.
authors: Gero
authors: G
authors: Wieners
authors: Department of Diagnostic and Interventional Radiology, Charité Campus Virchow, Berlin, Germany.
authors: Bernhard
authors: B
authors: Gebauer
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects*; D001652:Bile Ducts / Q000528:radiation effects; D002764:Cholecystitis / Q000209:etiology; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000401:mortality / Q000532:radiotherapy*; D008297:Male; D008863:Microspheres; D008875:Middle Aged; D015021:Yttrium Radioisotopes / Q000008:administration & dosage*
chemical_list: D015021:Yttrium Radioisotopes
keywords: Liver metastasis; biliodigestive anastomosis; bilioenteric anastomosis; complications; hepaticojejunostomy; liver abscess; radioembolization