Research Article
Portal Vein Embolization with PVA and Coils before Major Hepatectomy: Single-Center Retrospective Analysis in Sixty-Four Patients
| | Number of patients | 64 | | PVE segments, N (%) | | | Right | 53 (82.81) | | Right + IV | 2 (3.12) | | Right + RHV | 1 (1.56) | | Left | 5 (7.81) | | Left + ARS | 3 (4.69) | | PVE ipsi or contralateral, N (%) | | | Contra | 1 (1.56) | | Ipsi | 63 (98.44) | | PVA total vials, mean (SD) | 7.75 (2.93) | | Total coils, mean (SD) | 9.73 (4.21) | | Adverse events, N (%) | | | Fever | 3 (4.69) | | Hemoperitoneum and hemothorax: angiography did not reveal active bleeding | 1 (1.56) | | Left arterial branch lateration | 1 (1.56) | | Nausea and vomiting | 1 (1.56) | | None | 58 (90.62) | | Hospital stay in days, mean (SD) | 2.59 (1.61) | | TFLV, mean (SD) | 1399.02 (346.92) | | TFLV after PVE, mean (SD) | 1428.62 (379.58) | | FLRV, mean (SD) | 484.31 (241.64) | | FLRV after PVE, mean (SD) | 653.61 (286.66) | | Right liver volume before PVE, mean (SD) | 984.89 (393.31) | | Right liver volume after PVE, mean(SD) | 853.06 (386.42) | | Tumor volume before PVE, mean (SD) | 114.03 (377.4) | | Tumor volume after PVE, mean (SD) | 137.76 (385.8) | | Increase in the FLR ratio, mean (SD) | 11.14 (4.83) | | Increase in the FLR percent degree of hypertrophy, mean (SD) | 40.16 (28.75) |
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PVE: portal vein embolization; RHV: right hepatic vein; ARS: anterior right sector; TFLV: total functional liver volume; FLRV: future liver remnant volume; FLR: future liver remnant.
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