Portal vein embolization oor Duits
Portal vein embolization
Vertalings in die woordeboek Engels - Duits
Pfortaderembolisation
Resectability may be increased by surgical techniques including two-stage hepatectomy and portal vein embolization.
Die Resektabilität kann durch chirurgische Verfahren gesteigert werden, beispielsweise mit 2-zeitiger Hepatektomie oder Pfortaderembolisation.
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Resectability may be increased by surgical techniques including two-stage hepatectomy and portal vein embolization.
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This could be achieved by earlier diagnosis, by combination of liver resection with induction chemotherapy or thermoablation and selective portal vein embolization as well as further surgical specialization.
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In patients with potentially resectable metastases surgical procedures, such as two-stage liver resection, portal vein embolization, local ablation, such as radiofrequency ablation, neoadjuvant chemotherapy or a combination of these methods can be used.
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The objective is to ensure optimized treatment results. Complementary preoperative measures are the endoscopic removal of bile duct stones, interventional portal vein embolization, percutaneous abscess drainage, and so-called stenting in case of mechanical bowel obstruction.
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More extensive liver resections are being performed, which are partly carried out as staged resections after neoadjuvant chemotherapy in combination with portal vein embolization (PVE), radio frequency ablation (RFA) or other procedures in order to increase complete resection rates and patient survival.
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Although there are still no convincing data available for either pharmacological intervention for functional improvement of the liver or for liver replacement therapy, liver function tests, preoperative measures (e.g. cholangiodrainage, portal vein embolization and ligature) and a patient-adapted operation planning are essential for this therapy approach.
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In addition to the traditional methods for induction of FLR hypertrophy, such as portal vein embolization (PVE) or portal vein ligation (PVL) with or without parenchymal dissection (ALPPS, in situ split), radioembolization (RE) using yttrium-90 microspheres also leads to a volume increase of non-embolized liver parenchyma.
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The typical clinical manifestations of protein C/S deficiencies are superficial and deep leg vein thrombosis, thrombosis of the mesenterial, cerebral, renal and axillary veins, portal vein thrombosis and pulmonary embolism.
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Color flow duplex sonography showed an arterioportal fistula between the proper hepatic artery and the ectatic portal vein that was confirmed by angiography, permitting percutaneous embolization as a definitive treatment.
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Preoperative portal vein embolization - technical optimization and measurement of functional gain using MRI with hepatocyte-specific contrast media and hepatobiliary sequence scintigraphy
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For patients with anticipated FLR less than 25-30% of the total liver volume, portal vein embolization should be considered to induce FLR hypertrophy.
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The following studies were performed to optimize portal vein embolization technique and to evaluate Gd-EOB-enhanced MRI as an imaging-based liver function test.
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Moreover, the future liver remnant volume after extended liver resection can be increased by embolization (PVE) or ligation of major branches of the portal vein.
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These can be combined with particularly outstanding expertise in the field of interventional radiology, where the destruction of liver tumors is performed not only through radio frequency ablation, but also through transarterial chemoembolisation (TACE) and interventional portal vein embolization.
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These shunts are used for portal hypertension caused for instance by liver cirrhosis; they reduce the risk for other collateral pathways like esophageal varices and are helpful in the treatment of ascites. We also do portal vein embolizations to promote liver growth before major surgery.
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