Ipsilateral Percutaneous Transhepatic Portal Vein Embolization with Gelatin Sponge Particles and Coils in Preparation for Extended Right Hepatectomy for Hilar Cholangiocarcinoma

Liver regeneration and recanalization time course following reversible portal vein embolization

“…Gelfoam has therefore been used in combination with polidocanol or small coils, to ensure a sufficient embolization [20,30]. Our results suggest that the temporary obstruction of the portal branches with Curaspon powder results in hypertrophy of the non-occluded segments similar to that observed during the definitive obstruction of portal branches [7,14,20,21].…”

Portal vein embolization with different embolic agents for right hepatectomy

“…There are a number of studies reported in the literature on PVE with different embolic materials including cyanoacrylate, gelatin sponge, coils, PVA, and absolute alcohol (4,(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25). In comparison of selected reports with our study group, our rate of increase in FLR is superior (Table 3).…”

Preoperative portal vein embolization using an amplatzer vascular plug

“…We found that three of the four patients with recanalized PVs were embolized with gelatin sponges alone, further indicating the need for additional coils following gelatin sponges to prevent recanalization [5,7].…”

“…Regarding postoperative complications, three patients with subphrenic abscess and/or pleural effusion underwent drainage tube placement, one with wound infection underwent wound repair, and one with persistent ascites underwent stent placement in the middle hepatic vein. During a mean follow-up of 8±5 (range [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] months, 21 of the 29 patients were healthy without recurrence, but 8 had recurrent tumors.…”

“…Owing to the regenerative capacity of the liver, preoperative portal vein embolization (PVE) has been proposed to increase the functional mass of the unembolized liver segments that will remain in situ after surgery. Among the substances used for PVE are cyanoacrylate and ethiodized oil, gelatin sponge and thrombin, coils, polyvinyl alcohol (PVA) particles, microspheres, absolute alcohol, and embol-78 [3][4][5][6][7][8][9][10][11][12].…”