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Radioembolization with 90Y microspheres: angiographic and technical considerations. Cardiovasc Intervent Radiol 2007 Jul-Aug;30(4):571-92

Date

05/23/2007

Pubmed ID

17516113

DOI

10.1007/s00270-007-9064-z

Scopus ID

2-s2.0-34548842842   199 Citations

Abstract

The anatomy of the mesenteric system and the hepatic arterial bed has been demonstrated to have a high degree of variation. This is important when considering pre-surgical planning, catheterization, and trans-arterial hepatic therapies. Although anatomical variants have been well described, the characterization and understanding of regional hepatic perfusion in the context of radioembolization have not been studied with great depth. The purpose of this review is to provide a thorough discussion and detailed presentation of the angiographic and technical aspects of radioembolization. Normal vascular anatomy, commonly encountered variants, and factors involved in changes to regional perfusion in the presence of liver tumors are discussed. Furthermore, the principles described here apply to all liver-directed transarterial therapies.

Author List

Lewandowski RJ, Sato KT, Atassi B, Ryu RK, Nemcek AA Jr, Kulik L, Geschwind JF, Murthy R, Rilling W, Liu D, Bester L, Bilbao JI, Kennedy AS, Omary RA, Salem R

Author

William S. Rilling MD Vice Chair, Professor in the Radiology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Angiography
Brachytherapy
Carcinoma, Hepatocellular
Catheterization, Peripheral
Celiac Artery
Embolization, Therapeutic
Hepatic Artery
Humans
Infusions, Intra-Arterial
Liver
Liver Neoplasms
Magnetic Resonance Angiography
Mesenteric Arteries
Microspheres
Neovascularization, Pathologic
Regional Blood Flow
Stomach
Tomography, X-Ray Computed
Yttrium Radioisotopes
jenkins-FCD Prod-411 e00897e83867fcfa48419861683711f8d99adb75