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CardioVascular and Interventional Radiology

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01.12.2013 | Case Report

Cholecystokinin-Assisted Hydrodissection of the Gallbladder Fossa during FDG PET/CT-guided Liver Ablation

verfasst von: Sanjit O. Tewari, Elena N. Petre, Joseph Osborne, Constantinos T. Sofocleous

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 6/2013

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Abstract

A 68-year-old female with colorectal cancer developed a metachronous isolated fluorodeoxyglucose-avid (FDG-avid) segment 5/6 gallbladder fossa hepatic lesion and was referred for percutaneous ablation. Pre-procedure computed tomography (CT) images demonstrated a distended gallbladder abutting the segment 5/6 hepatic metastasis. In order to perform ablation with clear margins and avoid direct puncture and aspiration of the gallbladder, cholecystokinin was administered intravenously to stimulate gallbladder contraction before hydrodissection. Subsequently, the lesion was ablated successfully with sufficient margins, of greater than 1.0 cm, using microwave with ultrasound and FDG PET/CT guidance. The patient tolerated the procedure very well and was discharged home the next day.

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Titel: Cholecystokinin-Assisted Hydrodissection of the Gallbladder Fossa during FDG PET/CT-guided Liver Ablation
verfasst von: Sanjit O. Tewari
Elena N. Petre
Joseph Osborne
Constantinos T. Sofocleous
Publikationsdatum: 01.12.2013
Verlag: Springer US
Erschienen in: CardioVascular and Interventional Radiology / Ausgabe 6/2013
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-013-0692-1

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Cholecystokinin-Assisted Hydrodissection of the Gallbladder Fossa during FDG PET/CT-guided Liver Ablation

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