Radioembolization with 90Y microspheres: angiographic and technical considerations. Cardiovasc Intervent Radiol 2007;30(4):571-92
Date
05/23/2007Pubmed ID
17516113DOI
10.1007/s00270-007-9064-zScopus ID
2-s2.0-34548842842 (requires institutional sign-in at Scopus site) 232 CitationsAbstract
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 RAuthor
William S. Rilling MD, FSIR Vice Chair, Professor in the Radiology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AngiographyBrachytherapy
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
