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Paladini A, Vallati GE, Beomonte Zobel D, et al. Delivery of selective internal radiation therapy complicated by variant hepatic vascular anatomy. Radiol Case Rep. 2019;14(6):662-672doi: 10.1016/j.radcr.2019.03.009.
Paladini, A., Vallati, G. E., Beomonte Zobel, D., Paladini, L., Annovazzi, A., Sciuto, R., Cappelli, F., Borzelli, A., Pane, F., Negroni, D., Cernigliaro, M., Galbiati, A., Del Sette, B., Spinetta, M., Guzzardi, G., Carriero, A., & Pizzi, G. (2019). Delivery of selective internal radiation therapy complicated by variant hepatic vascular anatomy. Radiology case reports, 14(6), 662-672. https://doi.org/10.1016/j.radcr.2019.03.009
Paladini, A, et al. "Delivery of selective internal radiation therapy complicated by variant hepatic vascular anatomy." Radiology case reports vol. 14,6 (2019): 662-672. doi: https://doi.org/10.1016/j.radcr.2019.03.009
Paladini A, Vallati GE, Beomonte Zobel D, Paladini L, Annovazzi A, Sciuto R, Cappelli F, Borzelli A, Pane F, Negroni D, Cernigliaro M, Galbiati A, Del Sette B, Spinetta M, Guzzardi G, Carriero A, Pizzi G. Delivery of selective internal radiation therapy complicated by variant hepatic vascular anatomy. Radiol Case Rep. 2019 Mar 23;14(6):662-672. doi: 10.1016/j.radcr.2019.03.009. eCollection 2019 Jun. PMID: 30956745; PMCID: PMC6434105.
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Radiol Case Rep. 2019 Mar 23;14(6):662-672. doi: 10.1016/j.radcr.2019.03.009. eCollection 2019 Jun.

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

Radiology case reports

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

Affiliations

  1. Radiology Institute, Services Diagnosis and Therapies Department, Maggiore della Carità Hospital, University of Eastern Piedmont - UPO University, Corso G. Mazzini 18, 28100 Novara, Italy.
  2. Division of Interventional Radiology, IFO Regina Elena National Cancer Institute, Via Elio Chianesi, 53, 00144 Rome, Italy.
  3. Catholic University of Sacred Heart, L.go F. Vito 1, 00168 Roma, Italy.
  4. UO Nuclear Medicine, IFO Regina Elena National Cancer Institute, Via Elio Chianesi, 53, 00144 Rome, Italy.
  5. Interventional Radiology Department, AORN "A. Cardarelli", Via A. Cardarelli 9, 80131 Naples, Italy.

PMID: 30956745 PMCID: PMC6434105 DOI: 10.1016/j.radcr.2019.03.009

Abstract

"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: Anatomic variants; HCC; TARE; Vascular anatomy

References

  1. J Nucl Med. 2010 Aug;51(8):1206-12 - PubMed
  2. J Nucl Med. 2012 Nov;53(11):1736-47 - PubMed
  3. Pediatr Radiol. 2013 Jul;43(7):876-81 - PubMed

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