Embolization of the hepatic falciform artery to prevent supraumbilical skin rash during transcatheter arterial chemoembolization for hepatocellular carcinoma

Ueno, Kazuto; Miyazono, Nobuaki; Inoue, Hiroki; Miyaké, Satoshi; Nishida, Hitoshi; Nakajo, Masayuki

doi:10.1007/bf00204147

Cited by 39 publications

(10 citation statements)

References 6 publications

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“…The frequency reported by Song was higher, which might be caused by larger volume and quicker injection of contrast agent, or by selective angiography of the left hepatic artery. It was reported that chemoembolization of this artery would cause reaction of the umbilical skin [15,17] , which was not observed in our study. We believe that the hepatic falciform artery is a residual artery from the embryo that supplies blood from liver to the umbilical tissues.…”

Section: Discussioncontrasting

confidence: 80%

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Angiographic findings of extrahepatic branches originating from hepatic artery and its clinical significance

Wang

2009

Chin. J. Cancer Res.

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Objective: To observe the presentation and variation of extrahepatic branches originating from hepatic artery by hepatic arteriography.Methods: Hepatic arteriogram of 200 cases with unresectable hepatic primary or metastatic tumors before interventional therapy were retrospectively analyzed. Two interventional radiologists independently reviewed the type, originating artery, distribution and variation of extrahepatic artery.Results: Five types of extrahepatic artery were found, with the most common type of the right gastric artery (n=156, 78%), followed by the cystic artery (n=126, 63%), accessory left gastric artery (n=19, 9.5%), hepatic falciform artery (n=5, 2.5%), and accessory left inferior phrenic artery (n=4, 2%). In 188 cases, there were extrahepatic arteries derived from hepatic proper artery or its branches, and the most frequent originating site was the right hepatic artery (130 extrahepatic branches), followed by the proper hepatic artery (103 branches), left hepatic artery (56 branches) and middle hepatic artery (3 branches). The left hepatic artery was the arising site with the multiple types of extrahepatic branches including all above branches except the cystic artery.Conclusion: Many types of extrahepatic branches usually derive from the hepatic artery or its distal branches, and its originating sites are not constant. It is important to avoid damage of extrahepatic tissue during interventional therapy for liver tumors.

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Section: Discussioncontrasting

confidence: 80%

“…The frequency identified by angiography is very low, only 2% from literatures [15,16] , until Song reported as 51.6% in a prospective study of angiography. Five cases of hepatic falciform artery were found in our study, all during the angiography of left hepatic artery.…”

Section: Discussionmentioning

confidence: 94%

Angiographic findings of extrahepatic branches originating from hepatic artery and its clinical significance

Wang

2009

Chin. J. Cancer Res.

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“…(Fig 10). Some reports have recommended prophylactic embolization of the hepatic falciform artery before TACE to prevent supraumbilical skin and fat necrosis (31,32). Recently, however, Kim et al (33) found no need for prophylactic embolization of the hepatic falciform artery before short-term hepatic arterial chemoinfusion with or without subsequent embolization.…”

Section: Considerations In Nontarget Arteriesmentioning

confidence: 97%

Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma: Anatomic and Hemodynamic Considerations in the Hepatic Artery and Portal Vein

Lee

Sung²,

Lee³

et al. 2002

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Hepatocellular carcinoma (HCC) is the most common malignant tumor of the liver. Although several therapeutic options have been advocated, transcatheter arterial chemoembolization (TACE) in particular has been widely performed in the treatment of HCC. Still, hepatic arteriography and portography are mandatory for evaluation of (a) the resectability and multiplicity of HCCs and (b) the hemodynamic status of the portal vein. Thereafter, TACE can be considered as the initial therapeutic modality. The possibility of nontarget organ complications during TACE (eg, ischemic cholecystitis, splenic infarction, gastrointestinal mucosal lesions, pulmonary embolism and infarction, spinal cord injury, ischemic skin lesions) should be taken seriously. A thorough understanding of the anatomic variants and hemodynamic features of the hepatic artery and portal vein is the first step in performing effective and safe TACE for HCC.

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“…Visualization of the HFA occurs in approximately 2% to 13% of hepatic angiograms (2,5). However, visualization of the internal mammary artery (IMA) via the HFA has not been described radiologically before.…”

Section: Discussionmentioning

confidence: 99%

Visualization of the internal mammary artery via the hepatic falciform artery in a patient with hepatocellular carcinoma

2004

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The hepatic falciform artery is a small vessel that arises as a terminal branch of the middle or left hepatic artery. Its anatomy and clinical importance have been described in several recent reports. During dissection of a cadaver, this artery is generally found connected with the ensiform branch of the internal mammary artery. However, to our knowledge, anastomosis has not previously been described radiologically.

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Embolization of the hepatic falciform artery to prevent supraumbilical skin rash during transcatheter arterial chemoembolization for hepatocellular carcinoma

Cited by 39 publications

References 6 publications

Angiographic findings of extrahepatic branches originating from hepatic artery and its clinical significance

Angiographic findings of extrahepatic branches originating from hepatic artery and its clinical significance

Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma: Anatomic and Hemodynamic Considerations in the Hepatic Artery and Portal Vein

Visualization of the internal mammary artery via the hepatic falciform artery in a patient with hepatocellular carcinoma

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