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Embolic Materials Used for Portal Vein Embolization

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Venous Embolization of the Liver

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Abstract

The gamut of embolic materials has been used for portal venous embolization. Local preferences appear to dictate the choice of embolic material, as there are no clear data supporting a superior choice among absolute ethanol, cyanoacrylate, fibrin glue, and small particle embolization with or without coils – the techniques accounting for the majority of recent PVE series. Among these, differing technical demands include the need for specialized catheters for the delivery of ethanol and fibrin glue. The contralateral approach, which carries risk for injury to the future liver remnant, is most commonly used when ethanol or cyanoacrylate is used. Standard angiographic catheters inserted from an ipsilateral approach can be used to deliver small particles with or without coils, making this potentially the simplest technique. The results of embolization using any of these methods are fairly consistent and therefore the strategy best adapted to the skills of local operators should be employed.

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Author information

Authors and Affiliations

  1. Department of Diagnostic Radiology, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY, 10021, USA

    Anne M. Covey

  2. Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, NY, USA

    Raymond H. Thornton M.D.

  3. Division of Interventional Radiology, Department of Radiology, New York-Presbyterian Hospital/Weill Cornell Medical Center, New York, NY, USA

    David C. Madoff M.D., F.S.I.R.

Authors
  1. Raymond H. Thornton M.D.
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  2. Anne M. Covey
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  3. David C. Madoff M.D., F.S.I.R.
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Correspondence to Anne M. Covey .

Editor information

Editors and Affiliations

  1. New York-Presbyterian Hospital, New York, 10032, New York, USA

    David C. Madoff

  2. University of Tokyo, Hongo 7-3-1, Tokyo, 113-8656, Japan

    Masatoshi Makuuchi

  3. School of Medicine, Dept. Surgery I, Nagoya University, Tsurumai-cho 65, Nagoya, Aichi-ken, 466-8550, Japan

    Masato Nagino

  4. M.D. Anderson Cancer Center, Dept. Surgical Oncology, University of Texas, Holcombe Blvd. 1515, Houston, 77030, Texas, USA

    Jean-Nicolas Vauthey

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Thornton, R.H., Covey, A.M., Madoff, D.C. (2011). Embolic Materials Used for Portal Vein Embolization. In: Madoff, D., Makuuchi, M., Nagino, M., Vauthey, JN. (eds) Venous Embolization of the Liver. Springer, London. https://doi.org/10.1007/978-1-84882-122-4_14

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  • DOI: https://doi.org/10.1007/978-1-84882-122-4_14

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-121-7

  • Online ISBN: 978-1-84882-122-4

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