Delivery of selective internal radiation therapy complicated by variant hepatic vascular anatomy

A. Paladini, MD; G.E. Vallati, MD; D. Beomonte Zobel, MD; L. Paladini, MD; A. Annovazzi, MD; R. Sciuto, MD; F. Cappelli, MD; A. Borzelli, MD; F. Pane, MD; D. Negroni, MD; M. Cernigliaro, MD; A. Galbiati, MD; B. Del Sette, MD; M. Spinetta, MD; G. Guzzardi, MD; A. Carriero, Professor; G. Pizzi, MD

Radiology Case Reports (Jun 2019)

Delivery of selective internal radiation therapy complicated by variant hepatic vascular anatomy

A. Paladini, MD,
G.E. Vallati, MD,
D. Beomonte Zobel, MD,
L. Paladini, MD,
A. Annovazzi, MD,
R. Sciuto, MD,
F. Cappelli, MD,
A. Borzelli, MD,
F. Pane, MD,
D. Negroni, MD,
M. Cernigliaro, MD,
A. Galbiati, MD,
B. Del Sette, MD,
M. Spinetta, MD,
G. Guzzardi, MD,
A. Carriero, Professor,
G. Pizzi, MD

Affiliations

A. Paladini, MD: Radiology Institute, Services Diagnosis and Therapies Department, Maggiore della Carità Hospital, University of Eastern Piedmont - UPO University, Corso G. Mazzini 18, 28100 Novara, Italy; Corresponding author.
G.E. Vallati, MD: Division of Interventional Radiology, IFO Regina Elena National Cancer Institute, Via Elio Chianesi, 53, 00144 Rome, Italy
D. Beomonte Zobel, MD: Division of Interventional Radiology, IFO Regina Elena National Cancer Institute, Via Elio Chianesi, 53, 00144 Rome, Italy
L. Paladini, MD: Catholic University of Sacred Heart, L.go F. Vito 1, 00168 Roma, Italy
A. Annovazzi, MD: UO Nuclear Medicine, IFO Regina Elena National Cancer Institute, Via Elio Chianesi, 53, 00144 Rome, Italy
R. Sciuto, MD: UO Nuclear Medicine, IFO Regina Elena National Cancer Institute, Via Elio Chianesi, 53, 00144 Rome, Italy
F. Cappelli, MD: Division of Interventional Radiology, IFO Regina Elena National Cancer Institute, Via Elio Chianesi, 53, 00144 Rome, Italy
A. Borzelli, MD: Interventional Radiology Department, AORN “A. Cardarelli”, Via A. Cardarelli 9, 80131 Naples, Italy
F. Pane, MD: Interventional Radiology Department, AORN “A. Cardarelli”, Via A. Cardarelli 9, 80131 Naples, Italy
D. Negroni, MD: Radiology Institute, Services Diagnosis and Therapies Department, Maggiore della Carità Hospital, University of Eastern Piedmont - UPO University, Corso G. Mazzini 18, 28100 Novara, Italy
M. Cernigliaro, MD: Radiology Institute, Services Diagnosis and Therapies Department, Maggiore della Carità Hospital, University of Eastern Piedmont - UPO University, Corso G. Mazzini 18, 28100 Novara, Italy
A. Galbiati, MD: Radiology Institute, Services Diagnosis and Therapies Department, Maggiore della Carità Hospital, University of Eastern Piedmont - UPO University, Corso G. Mazzini 18, 28100 Novara, Italy
B. Del Sette, MD: Radiology Institute, Services Diagnosis and Therapies Department, Maggiore della Carità Hospital, University of Eastern Piedmont - UPO University, Corso G. Mazzini 18, 28100 Novara, Italy
M. Spinetta, MD: Radiology Institute, Services Diagnosis and Therapies Department, Maggiore della Carità Hospital, University of Eastern Piedmont - UPO University, Corso G. Mazzini 18, 28100 Novara, Italy
G. Guzzardi, MD: Radiology Institute, Services Diagnosis and Therapies Department, Maggiore della Carità Hospital, University of Eastern Piedmont - UPO University, Corso G. Mazzini 18, 28100 Novara, Italy
A. Carriero, Professor: Radiology Institute, Services Diagnosis and Therapies Department, Maggiore della Carità Hospital, University of Eastern Piedmont - UPO University, Corso G. Mazzini 18, 28100 Novara, Italy
G. Pizzi, MD: Division of Interventional Radiology, IFO Regina Elena National Cancer Institute, Via Elio Chianesi, 53, 00144 Rome, Italy

Journal volume & issue: Vol. 14, no. 6
pp. 662 – 672

Abstract

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“Difficult vascular anatomy” is a challenge for Interventional Radiologists especially in liver directed therapies such as trans arterial radio embolization.Trans arterial radio embolization is a long and difficult procedure in which the basic knowledge of hepatic and gastro-enteric vascularization, with its high degree of variations, is very important in order to correctly administer the therapeutic drug selectively.In this report, we present a case of an atypical patient affected by an unresectable hepatocellular carcinoma, candidate for Radio-embolization treatment.His vascular anatomy was very difficult to manage, but the Interventional Radiologist was not only able to go over the “difficult anatomy,” but also to take advantage of it. Keywords: TARE, HCC, Vascular anatomy, Anatomic variants

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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