Liver venous deprivation in the prevention of post-resection hepatic failure
https://doi.org/10.16931/1995-5464.2024-2-134-141
Abstract
The paper presents a clinical observation of successful X-ray endovascular intervention performed in a patient with colorectal cancer metastases in the liver in order to prevent post-resection hepatic failure. Traditional embolization of the right branch of the portal vein was supplemented by occlusion of the right hepatic vein. Venous deprivation enabled a rapid growth of the future liver remnant to be achieved as indicated by CT volumetry results and SPECT-CT data that showed a significant increase in hepatic clearance. The first results demonstrate that liver venous deprivation is to be investigated further in clinical practice.
About the Authors
M. A. SudakovI.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Mikhail A. Sudakov, Oncologist
University Clinic No. 1; Oncology Unit
119435; 6 bld 1, Bol. Pirogovskaya str.; Moscow
I. O. Shchekoturov
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Igor O. Shchekoturov, Cand. of Sci. (Med.), Radiologist, Assistant
Department of Radiation Diagnostics and Therapy
119435; 6 bld 1, Bol. Pirogovskaya str.; Moscow
E. I. Vasilenko
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Elena I. Vasilenko, Cand. of Sci. (Med.), Head of the Unit, Radiologist, Assistant
Clinical Center; University Clinic No. 1; Radionuclide Diagnostics Unit; Sklifosovsky Institute of Clinical Medicine; Department of Radiation Diagnostics and Therapy
119435; 6 bld 1, Bol. Pirogovskaya str.; Moscow
P. M. Cholak
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Petr M. Cholak, Radiologist
Clinical Center of the I.M. Sechenov; University Clinic No. 1; Radionuclide Diagnostics Unit
119435; 6 bld 1, Bol. Pirogovskaya str.; Moscow
A. S. Emelyanova
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Arina S. Emelyanova, 4th year student
Faculty of Medicine
119435; 6 bld 1, Bol. Pirogovskaya str.; Moscow
K. A. Savostyanov
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Kirill A. Savostyanov, Cand. of Sci. (Med.), Physician of Superior Expert Category, Head of the Unit, Associate Professor
Clinical Center; University Clinic No. 1; Unit of X-ray Surgical Methods of Diagnostics and Treatment; Department of X-ray Endovascular Diagnostics and Treatment
119435; 6 bld 1, Bol. Pirogovskaya str.; Moscow
A. V. Egorov
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Alexey V. Egorov, Doct. of Sci. (Med.), Head of the Department, Professor
Clinical Center; University Clinic No. 1; Surgery Department; Faculty Surgery; Sklifosovsky Department
119435; 6 bld 1, Bol. Pirogovskaya str.; Moscow
F. P. Vetshev
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Fedor P. Vetshev, Doct. of Sci. (Med.), Head of the of the Chair
Medical Faculty; Chair of Faculty-Based Surgery № 1
119435; 6 bld 1, Bol. Pirogovskaya str.; Moscow
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Supplementary files
Review
For citations:
Sudakov M.A., Shchekoturov I.O., Vasilenko E.I., Cholak P.M., Emelyanova A.S., Savostyanov K.A., Egorov A.V., Vetshev F.P. Liver venous deprivation in the prevention of post-resection hepatic failure. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2024;29(2):134-141. (In Russ.) https://doi.org/10.16931/1995-5464.2024-2-134-141