Preoperative Portal Vein Embolization in Hepatic Surgery: A Review about the Embolic Materials and Their Effects on Liver Regeneration and Outcome
Liver volume and function after hepatectomies are directly correlated to postoperative complications and mortality. Consequently contemporary liver surgery has focused on reaching an adequate future liver remnant so as to diminish postoperative morbidity and mortality. Portal vein embolization has e...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Radiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2020/9295852 |
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| author | Jose Hugo M. Luz Filipe V. Gomes Elia Coimbra Nuno V. Costa Tiago Bilhim |
| author_facet | Jose Hugo M. Luz Filipe V. Gomes Elia Coimbra Nuno V. Costa Tiago Bilhim |
| author_sort | Jose Hugo M. Luz |
| collection | DOAJ |
| description | Liver volume and function after hepatectomies are directly correlated to postoperative complications and mortality. Consequently contemporary liver surgery has focused on reaching an adequate future liver remnant so as to diminish postoperative morbidity and mortality. Portal vein embolization has evolved and is the standard of care as a liver regenerative strategy in many surgery departments worldwide before major liver resections. Different embolic materials have been used for portal vein embolization including gelfoam, ethanol, polyvinyl-alcohol particles, calibrated microspheres, central vascular plugs, coils, n-butyl-cyanoacrylate glue, fibrin glue, polidocanol-foam, alcoholic prolamin solution, and ethylene vinyl alcohol copolymer, as sole occluders or in varied combinations. While to date there has been no prospective controlled trial comparing the efficacy of different embolic materials in portal vein embolization, retrospective data insinuates that the use of n-butyl-cyanoacrylate and absolute ethanol produces higher contralateral liver hypertrophies. In this review, we evaluated publications up to August 2019 to assess the technical and regenerative results of portal vein embolization accomplished with different embolic materials. Special attention was given to specific aspects, advantages, and drawbacks of each embolic agent used for portal vein embolization, its liver regenerative performance, and its influence on patient outcome. |
| format | Article |
| id | doaj-art-cabaa556f7794d3793378e245f4bce05 |
| institution | Kabale University |
| issn | 2090-1941 2090-195X |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Radiology Research and Practice |
| spelling | doaj-art-cabaa556f7794d3793378e245f4bce052025-02-03T01:05:07ZengWileyRadiology Research and Practice2090-19412090-195X2020-01-01202010.1155/2020/92958529295852Preoperative Portal Vein Embolization in Hepatic Surgery: A Review about the Embolic Materials and Their Effects on Liver Regeneration and OutcomeJose Hugo M. Luz0Filipe V. Gomes1Elia Coimbra2Nuno V. Costa3Tiago Bilhim4Interventional Radiology Unit, Curry Cabral Hospital CHULC, Rua Beneficencia 8, Zip Code 1069-166, Lisbon, PortugalInterventional Radiology Unit, Curry Cabral Hospital CHULC, Rua Beneficencia 8, Zip Code 1069-166, Lisbon, PortugalInterventional Radiology Unit, Curry Cabral Hospital CHULC, Rua Beneficencia 8, Zip Code 1069-166, Lisbon, PortugalInterventional Radiology Unit, Curry Cabral Hospital CHULC, Rua Beneficencia 8, Zip Code 1069-166, Lisbon, PortugalInterventional Radiology Unit, Curry Cabral Hospital CHULC, Rua Beneficencia 8, Zip Code 1069-166, Lisbon, PortugalLiver volume and function after hepatectomies are directly correlated to postoperative complications and mortality. Consequently contemporary liver surgery has focused on reaching an adequate future liver remnant so as to diminish postoperative morbidity and mortality. Portal vein embolization has evolved and is the standard of care as a liver regenerative strategy in many surgery departments worldwide before major liver resections. Different embolic materials have been used for portal vein embolization including gelfoam, ethanol, polyvinyl-alcohol particles, calibrated microspheres, central vascular plugs, coils, n-butyl-cyanoacrylate glue, fibrin glue, polidocanol-foam, alcoholic prolamin solution, and ethylene vinyl alcohol copolymer, as sole occluders or in varied combinations. While to date there has been no prospective controlled trial comparing the efficacy of different embolic materials in portal vein embolization, retrospective data insinuates that the use of n-butyl-cyanoacrylate and absolute ethanol produces higher contralateral liver hypertrophies. In this review, we evaluated publications up to August 2019 to assess the technical and regenerative results of portal vein embolization accomplished with different embolic materials. Special attention was given to specific aspects, advantages, and drawbacks of each embolic agent used for portal vein embolization, its liver regenerative performance, and its influence on patient outcome.http://dx.doi.org/10.1155/2020/9295852 |
| spellingShingle | Jose Hugo M. Luz Filipe V. Gomes Elia Coimbra Nuno V. Costa Tiago Bilhim Preoperative Portal Vein Embolization in Hepatic Surgery: A Review about the Embolic Materials and Their Effects on Liver Regeneration and Outcome Radiology Research and Practice |
| title | Preoperative Portal Vein Embolization in Hepatic Surgery: A Review about the Embolic Materials and Their Effects on Liver Regeneration and Outcome |
| title_full | Preoperative Portal Vein Embolization in Hepatic Surgery: A Review about the Embolic Materials and Their Effects on Liver Regeneration and Outcome |
| title_fullStr | Preoperative Portal Vein Embolization in Hepatic Surgery: A Review about the Embolic Materials and Their Effects on Liver Regeneration and Outcome |
| title_full_unstemmed | Preoperative Portal Vein Embolization in Hepatic Surgery: A Review about the Embolic Materials and Their Effects on Liver Regeneration and Outcome |
| title_short | Preoperative Portal Vein Embolization in Hepatic Surgery: A Review about the Embolic Materials and Their Effects on Liver Regeneration and Outcome |
| title_sort | preoperative portal vein embolization in hepatic surgery a review about the embolic materials and their effects on liver regeneration and outcome |
| url | http://dx.doi.org/10.1155/2020/9295852 |
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