Gastric Angiography

Reuter, Stewart R.; Redman, Helen C.; Miller, William J.; Hoskins, Phillip A.

doi:10.1148/94.2.271

Cited by 20 publications

(13 citation statements)

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“…8 The RCHA that courses behind the pancreas and then enters the gastroduodenal artery can be explained by this theory. However, the RCHA that courses along the ventral side of the pancreas and then enters directly into the right gastroepiploic artery and without the presence of the gastroduodenal artery, cannot be explained by this theory alone.…”

Section: Discussionmentioning

confidence: 99%

Disposal of Replaced Common Hepatic Artery Coursing Within the Pancreas During Pancreatoduodenectomy: Report of a Case

et al. 2005

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A replaced common hepatic artery (RCHA) originating from the superior mesenteric artery (SMA) is a rare anomaly. We herein report such a case in a 62-year-old man who was scheduled to undergo a pancreatoduodenectomy for lower bile duct cancer. Computed tomography (CT) showed the RCHA to run along the ventral side of the pancreas. Abdominal angiography showed an RCHA originating from the SMA, which communicated with an aberrant left hepatic artery from the left gastric artery. No gastroduodenal artery was observed, but instead a direct ramification of a right gastroepiploic artery was seen. Similar cases from the English literature were reviewed. The RCHA was confirmed to course first along the ventral side of, and then within, the pancreas. Clamping of the RCHA did not influence the arterial flow in the liver, and the RCHA was subsequently divided without reconstruction. In three of the five reviewed cases in which the RCHA coursed either within or along the ventral side of the pancreas, no gastroduodenal artery was found, but instead a direct ramification of a right gastroepiploic artery was observed. A combination of CT and angiographic findings can help in both the diagnosis of an anomalous RCHA coursing either within or along the ventral side of the pancreas as well as in selecting optimal operative procedures. Pancreatoduodenectomy was performed with a curative resection according to our usual practice except for the fact that we preserved the aberrant left hepatic artery.

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Section: Discussionmentioning

confidence: 99%

Disposal of Replaced Common Hepatic Artery Coursing Within the Pancreas During Pancreatoduodenectomy: Report of a Case

et al. 2005

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“…The typical arteriovenous shunts of hepatocellular carcinoma, with visualization of the drainage vein, are not common in the case of hepatic venous malformations [15]. Atypical images include the presence of an arterio-portal shunt [16] or intense, diffuse enhancement in the parenchymatose phase [17].…”

Section: Discussionmentioning

confidence: 99%

Transcatheter embolization of symptomatic hepatic venous malformations

et al. 1998

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The aim of this study was to evaluate our results in treatment and management of symptomatic hepatic venous malformations using transcatheter embolization therapy. From 1991 to 1997 five venous malformations were embolized in one man and four women ranging in age from 31 to 50 years. All patients presented nonspecific abdominal pain and were assessed in the general surgery unit. Percutaneous embolization was recommended. In all cases polyvinyl alcohol was used to embolize the afferent arterioles. Clinical and echographic control follow-up was carried out on an outpatient basis in our Vascular and Interventional Radiology Unit. Embolization was possible in all cases. No complications developed during the procedure, except in one case where the subject suffered a spasm of the hepatic artery. Mean follow-up time was 42 months (6-73 months). Four patients remained asymptomatic during the entire follow-up period, whereas one patient required reembolization. In our experience, transcatheter embolization of hepatic venous malformations is a noninvasive technique which requires few admissions and presents few complications. With further use, it could become the treatment of choice in symptomatic hepatic venous malformations as an alternative to surgery.

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“…It was also mentioned that of the myogenic tumor, the circular distribution of the tumor vessels surrounding the tumor and arterial invasion, irregularity and abrupt termination of small arteries were important findings to differentiate leiomyoma from leiomyosarcoma. Reuter et al (1970) stated that 2 of 5 patients with leiomyoma had no abnormal angiographic findings and other 3 had moderate number of tumor vessels and infiltration of gastric arteries. They stressed that there was poor vascularity in leiomyoma of the stomach as compared with that of small bowel.…”

Section: Discussionmentioning

confidence: 99%

“…These conventional methods, however, may clarify only mucosal changes, and efficacy of these method is limited within mucosal changes of the stomach. On the other hand, selective angiography was recently reported to possess diagnostic value for the diseases of the gastro-intestinal tract (Reuter et al 1970, Shibata and Iwasaki 1970, Fujii 1971. It was emphasized that this method was a favorable technique for the diagnosis of changes of the submucosal, muscular or serosal wall of the stomach.…”

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confidence: 99%