Hepatic falciform artery: Angiographic findings in 25 patients

Baba, Yasutaka; Miyazono, Nobuaki; Ueno, Kazuto; Kanetsuki, I; Nishi, H.; Inoue, Hiroki; Nakajo, Masayuki

doi:10.1080/028418500127345596

Cited by 36 publications

(16 citation statements)

References 6 publications

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“…Since late-2009, our institution has routinely performed SPECT/CT after liver-lung shunt scintigraphy. Our incidence of falciform ligament radiotracer activity detected on SPECT/ CT is 10% (5 out of 51 patients), in keeping with reported angiographic incidence [8][9][10][11][12][13]. However, this is likely an under-representation as some of our patients do not undergo whole-liver injection of Tc-99m-MAA.…”

Section: Discussionsupporting

confidence: 85%

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Hepatic falciform ligament Tc-99m-macroaggregated albumin activity on SPECT/CT prior to Yttrium-90 microsphere radioembolization: prophylactic measures to prevent non-target microsphere localization via patent hepatic falciform arteries

et al. 2011

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Yttrium-90 (Y-90) selective internal radiation therapy (SIRT) is increasingly used to treat inoperable hepatocellular carcinoma. We describe two patients where hepatic falciform ligament Technetium-99m-macroaggregated albumin (Tc-99m-MAA) activity was identified on single photon emission computed tomography with integrated low-dose CT (SPECT/CT) scan during pre-therapy planning, and the steps taken to prevent radiation dermatitis. The first patient underwent prophylactic coil embolization of the patent hepatic falciform artery; the second patient underwent super-selective infusion of Y-90 resin microspheres to avoid the patent hepatic falciform artery. The incidence of falciform ligament Tc-99m-MAA activity detected on SPECT/CT at our institution is 10%. Tc-99m-MAA SPECT/CT scan provides valuable diagnostic information for treatment planning prior to Y-90 SIRT.

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Section: Discussionsupporting

confidence: 85%

“…The angiographic incidence of a patent hepatic falciform artery ranges from 2 to 24.5% [8][9][10][11][12][13]. Since late-2009, our institution has routinely performed SPECT/CT after liver-lung shunt scintigraphy.…”

Section: Discussionmentioning

confidence: 99%

Hepatic falciform ligament Tc-99m-macroaggregated albumin activity on SPECT/CT prior to Yttrium-90 microsphere radioembolization: prophylactic measures to prevent non-target microsphere localization via patent hepatic falciform arteries

et al. 2011

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“…It has an absorption peak at 608 nm in water and is known to stain collagen tissues well. 22,28 To our knowledge, the present study is the first time IC has been evaluated for vitreoretinal surgery, where it showed overall good safety about the retina. Such findings may indicate that IC and possibly other thiazine dyes may be useful in chromovitrectomy, but staining affinity issues should be evaluated.…”

Section: Discussionmentioning

confidence: 89%

Preclinical Investigation of the Retinal Biocompatibility of Six Novel Vital Dyes for Chromovitrectomy

Rodrigues

Penha²,

Farah³

et al. 2009

Retina

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“…The frequency identified by angiography is very low, only 2% from literatures [15,16] , until Song reported as 51.6% in a prospective study of angiography. Five cases of hepatic falciform artery were found in our study, all during the angiography of left hepatic artery.…”

Section: Discussionmentioning

confidence: 91%

Angiographic findings of extrahepatic branches originating from hepatic artery and its clinical significance

Wang

2009

Chin. J. Cancer Res.

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Objective: To observe the presentation and variation of extrahepatic branches originating from hepatic artery by hepatic arteriography.Methods: Hepatic arteriogram of 200 cases with unresectable hepatic primary or metastatic tumors before interventional therapy were retrospectively analyzed. Two interventional radiologists independently reviewed the type, originating artery, distribution and variation of extrahepatic artery.Results: Five types of extrahepatic artery were found, with the most common type of the right gastric artery (n=156, 78%), followed by the cystic artery (n=126, 63%), accessory left gastric artery (n=19, 9.5%), hepatic falciform artery (n=5, 2.5%), and accessory left inferior phrenic artery (n=4, 2%). In 188 cases, there were extrahepatic arteries derived from hepatic proper artery or its branches, and the most frequent originating site was the right hepatic artery (130 extrahepatic branches), followed by the proper hepatic artery (103 branches), left hepatic artery (56 branches) and middle hepatic artery (3 branches). The left hepatic artery was the arising site with the multiple types of extrahepatic branches including all above branches except the cystic artery.Conclusion: Many types of extrahepatic branches usually derive from the hepatic artery or its distal branches, and its originating sites are not constant. It is important to avoid damage of extrahepatic tissue during interventional therapy for liver tumors.

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Hepatic falciform artery: Angiographic findings in 25 patients

Abstract: HFA is an extrahepatic pathway which runs to the abdominal wall. Before chemoembolization of the middle or left hepatic artery for hepatic malignancy, the HFA should be recognized.

Cited by 36 publications

References 6 publications

Hepatic falciform ligament Tc-99m-macroaggregated albumin activity on SPECT/CT prior to Yttrium-90 microsphere radioembolization: prophylactic measures to prevent non-target microsphere localization via patent hepatic falciform arteries

Hepatic falciform ligament Tc-99m-macroaggregated albumin activity on SPECT/CT prior to Yttrium-90 microsphere radioembolization: prophylactic measures to prevent non-target microsphere localization via patent hepatic falciform arteries

Preclinical Investigation of the Retinal Biocompatibility of Six Novel Vital Dyes for Chromovitrectomy

Angiographic findings of extrahepatic branches originating from hepatic artery and its clinical significance

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