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  • Title: [The efficacy of transcatheter embolization of severe arterioportal shunts in hepatocellular carcinoma].
    Author: Hiyoshi Y, Beppu T, Okabe K, Hayashi H, Masuda T, Okabe H, Mizumoto T, Komori H, Tanaka H, Horino K, Ishiko T, Takamori H, Hirota M, Baba H.
    Journal: Gan To Kagaku Ryoho; 2007 Nov; 34(12):2093-5. PubMed ID: 18219909.
    Abstract:
    Transcatheter arterial embolizations of severe arterioportal shunt (A-P shunt) were performed with steel coils in 3 patients with hepatocellurlar carcinoma (HCC) as shown below. Case 1: A 56-year-old man with HCC associated with portal hypertension (esophageal varices and ascites abnominal pain), portal vein tumor thrombus and severe A-P shunt was performed in critical conditions. Case 2: A 51-year-old man with HCC, lung and adrenal gland metastases was accompanied with severe portal hypertention caused by A-P shunt and was in a harmful condition similar to case 1. Case 3: A 68-year-old woman with HCC associated with autoimmune hepatitis was performed a hepatic resection. Then multiple intrahepatic recurrences appeared 6 months later. A-P shunt made impossible to detect the feeding artery of tumor. After embolization of A-P shunt, esophageal varices and ascites resolved, and abdominal pain improved in cases 1 and 2. In addition, embolization enabled to perform transcatheter arterial chemoembolization in case 3. This procedure is a useful tool to improve various symptoms due to A-P shunt and to continue treatments for HCCs.
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