Knowledge of the vascular anatomy of the upper abdomen is important in the daily practice of surgeons specialized in the hepatobiliary and pancreatic area, and for general surgeons and radiologists, mainly those involved in interventional radiology. Since anatomical variants of the celiac axis and hepatic arteries are common, an accurate description of vascularization is required before procedures to avoid iatrogenic vascular changes. We reported a case of a young male patient with HBV related cirrhosis, who came to our institution for the treatment of 2 HCC nodules. The preprocedural contrast-enhanced CT examination showed combined variations of celiac trunk, hepatic arteries, gastroduodenal artery, and right inferior phrenic artery. The careful pre- and intraprocedural evaluation of vascularization allowed us to perform transarterial chemoembolization of the 2 nodules without complications. The incidence and developmental and clinical significance of this variation is discussed with a detailed review of the literature. Knowledge of such a case has important clinical significance in abdominal operations or invasive arterial procedures.

Roma, S., D'Amato, D., Ranalli, T., Nardone, V., Pace, C., Lenci, I., et al. (2019). Vascular anomalies of the celiac trunk and implications in treatment of HCC with TACE. Description of a case and review of the literature. RADIOLOGY CASE REPORTS, 14(10), 1221-1227 [10.1016/j.radcr.2019.07.011].

Vascular anomalies of the celiac trunk and implications in treatment of HCC with TACE. Description of a case and review of the literature

Lenci I.;Francioso S.;Brega A.;Manzia T. M.;Orlacchio A.
2019-01-01

Abstract

Knowledge of the vascular anatomy of the upper abdomen is important in the daily practice of surgeons specialized in the hepatobiliary and pancreatic area, and for general surgeons and radiologists, mainly those involved in interventional radiology. Since anatomical variants of the celiac axis and hepatic arteries are common, an accurate description of vascularization is required before procedures to avoid iatrogenic vascular changes. We reported a case of a young male patient with HBV related cirrhosis, who came to our institution for the treatment of 2 HCC nodules. The preprocedural contrast-enhanced CT examination showed combined variations of celiac trunk, hepatic arteries, gastroduodenal artery, and right inferior phrenic artery. The careful pre- and intraprocedural evaluation of vascularization allowed us to perform transarterial chemoembolization of the 2 nodules without complications. The incidence and developmental and clinical significance of this variation is discussed with a detailed review of the literature. Knowledge of such a case has important clinical significance in abdominal operations or invasive arterial procedures.
2019
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/01 - STATISTICA MEDICA
English
Con Impact Factor ISI
Celiac trunk; Common hepatic artery absence; Gastroduodenal artery; Hepatic artery; Right inferior phrenic artery
Roma, S., D'Amato, D., Ranalli, T., Nardone, V., Pace, C., Lenci, I., et al. (2019). Vascular anomalies of the celiac trunk and implications in treatment of HCC with TACE. Description of a case and review of the literature. RADIOLOGY CASE REPORTS, 14(10), 1221-1227 [10.1016/j.radcr.2019.07.011].
Roma, S; D'Amato, D; Ranalli, T; Nardone, V; Pace, C; Lenci, I; Francioso, S; Brega, A; Manzia, Tm; Orlacchio, A
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/240715
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