nach oben

Surgical and Radiologic Anatomy

Erschienen in:

05.01.2019 | Anatomic Variations

Aberrant arc between the common hepatic artery and a replaced right hepatic artery resulting in misperfusion in a patient with a hepatic arterial infusion pump

verfasst von: Omar Hasan, Stephanie Greco, Timothy Kennedy, Darren Carpizo, Jeffrey Kempf, John Nosher

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 3/2019

Einloggen, um Zugang zu erhalten

Abstract

Hepatic arterial infusion pumps are increasingly utilized as an option for liver directed therapy in the treatment of metastatic colorectal carcinoma. After skeletonization of the hepatic artery through the ligation of extra-hepatic branches, these pumps are implanted surgically with their tip placed in the common hepatic artery. Subsequently, a nuclear medicine pump study is performed to ensure homogeneous perfusion of the liver and detect any extrahepatic perfusion. We report a peripheral arc between the superior mesenteric artery and celiac axis, which caused misperfusion on the SPECT nuclear medicine scan.

Catalano OA et al (2008) Vascular and Biliary variants in the liver: implications for liver surgery Radiographics 28(2):359–378CrossRefPubMed

Covey AM et al (2002) Variant Hepatic arterial anatomy revisited: Digital subtraction angiography performed in 600 patients. Radiology 224(2):542–547CrossRefPubMed

Creasy JM et al (2018) Actual 10-year survival after hepatic resection of colorectal liver metastases: what factors preclude cure? Surgery 163(6):1238–1244CrossRefPubMed

D’Angelica MI et al (2015) Phase II trial of hepatic artery infusional and systemic chemotherapy for patients with unresectable hepatic metastases from colorectal cancer: conversion to resection and long-term outcomes. Ann Surg 261(2):353–360CrossRefPubMedPubMedCentral

De Jong MC et al (2009) Rates and patterns of recurrence following curative intent surgery for colorectal liver metastasis: an international multi-institutional analysis of 1669 patient. Ann Surg 250(3):440–448PubMed

Hess KR et al (2006) Metastatic patterns in adenocarcinoma. Cancer 1;106(7):1624–1633CrossRefPubMed

Michels NA. (1966) Newer anatomy of the liver and its variant blood supply and collateral circulation. Am J Surg. 112(3):337–347CrossRefPubMed

Michels NA (1955) Blood supply and anatomy of the upper abdominal organs. J.B.Lippincott, Philadelphia

Rihimaki M et al (2016) Patterns of metastasis in colon and rectal cancer. Sci Rep 15:6:29765CrossRef

10.

Sofocleous CT et al (2006) Arterial embolization for salvage of hepatic artery infusion pumps. J Vasc Interv Radiol 17(5):801–806CrossRefPubMed

11.

Song SY et al (2010) Celiac axis and common hepatic artery variations in 5002 patients: systematic analysis with spiral CT and DSA. Radiology 255(1):278–288CrossRefPubMed

12.

Tomlinson JS et al (2007) Actual 10 year survival after resection of colorectal liver metastasis defines cure. J Clin Oncol 25(29):4575–4580CrossRefPubMed

13.

Vigano L et al (2008) Liver surgery for colorectal metastases: results after 10 years follow up. Long term survivors, late recurrences, and prognostic role of morbidity. Ann Surg Oncol 15(9):2458–2464CrossRefPubMed

14.

Zervoudakis A et al (2017) Treatment options in colorectal liver metastases: hepatic arterial infusion. Visc Med 33(1):47–53CrossRefPubMedPubMedCentral

Titel: Aberrant arc between the common hepatic artery and a replaced right hepatic artery resulting in misperfusion in a patient with a hepatic arterial infusion pump
verfasst von: Omar Hasan
Stephanie Greco
Timothy Kennedy
Darren Carpizo
Jeffrey Kempf
John Nosher
Publikationsdatum: 05.01.2019
Verlag: Springer Paris
Erschienen in: Surgical and Radiologic Anatomy / Ausgabe 3/2019
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-018-2158-2

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Aberrant arc between the common hepatic artery and a replaced right hepatic artery resulting in misperfusion in a patient with a hepatic arterial infusion pump

Abstract

Neu im Fachgebiet Radiologie

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

S3-Leitlinie zu Pankreaskrebs aktualisiert

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Update Radiologie

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2019

An anatomical study of the right bronchial tree using multi-detector computed tomography

Gabriele A. Krombach, Andreas H. Mahnken: Body imaging: thorax and abdomen anatomical landmarks, image findings, diagnosis

Rare anatomic variation of the hepatic arterial blood supply: case report and literature review

Aberrant splenic artery rising from the superior mesenteric artery: a rare but important anatomical variation

Unusual duplication and vulnerable intrapancreatic course of the left gastroepiploic artery: a rare anatomical variation

Morphological evaluation of the calcaneofibular ligament in different ankle positions using a three-dimensional MRI sequence

Neu im Fachgebiet Radiologie

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

S3-Leitlinie zu Pankreaskrebs aktualisiert

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

„Nur wer sich gut aufgehoben fühlt, kann auch für Patientensicherheit sorgen“

Update Radiologie