Comparison of the Effectiveness of Preoperative Portal Vein Embolization in Patients with Chronic Liver Disease: Gelfoam versus Gelfoam-Coil Combination

Abstract

tin sponges (gelfoam), coils, thrombin, polyvinyl alcohol particles, absolute alcohol, and N-butyl cyanoacrylate have been

Preoperative strategies to improve resectability for hepatocellular carcinoma: a systematic review and meta-analysis

“…The pooled data of the meta-analysis demonstrated that mortality after liver resection was 0.065 (95% CI 0.043, 0.097; N = 1031). [15][16][17][18][19][20][21][22]24,[26][27][28][29][30]32,33,[36][37][38][39][40][41][43][44][45][46][47][48][49][50][51][55][56][57][58][59][60] When considering only the sequential TACE + PVE, the mortality risk was 0.05 (95% CI 0.029, 0.086; N = 327; Fig. 2a).…”

“…The pooled data showed that the overall risk for PHLF was 0.08 (95% CI 0.047, 0.135; N = 689). 15,16,18,19,22,24,[26][27][28][39][40][41]43,[46][47][48][49][50]55,[57][58][59][60] For sequential TACE + PVE, the risk for PHLF was 0.075 (95% CI 0.045, 0.123; N = 192). 15,16,27,39,60 Similar rate was observed for PVE/ PVL 0.062 (95% CI 0.029, 0.130; N = 266).…”

“…15,16,27,39,60 Similar rate was observed for PVE/ PVL 0.062 (95% CI 0.029, 0.130; N = 266). 26,34,39,40,43,[47][48][49]60 This analysis could not be assessed for RE due to the lack of data, only one study including 4 patients addressed this end-point. 58 When considering only the ALPPS procedure, the risk for PHLF was higher (0.269; 95% CI 0.163, 0.412; N = 85).…”

Efficacy of percutaneous transhepatic portal vein embolization using gelatin sponge particles and metal coils

“…On the other hand, use of gelatin sponge without metal coils frequently results in recanalization after PTPE, and fails to induce effective compensatory hypertrophy of the non-embolized lobe (12). Shin et al reported that the gelatin sponge with metal coils was more effective than gelatin sponge alone for induction of compensatory hypertrophy (13). Therefore, we used gelatin sponge particles combined with metal coils.…”

“…Shin et al. reported that the gelatin sponge with metal coils was more effective than gelatin sponge alone for induction of compensatory hypertrophy (13). Therefore, we used gelatin sponge particles combined with metal coils.…”