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Foam sclerotherapy using polidocanol (aethoxysklerol) for preoperative portal vein embolization in 16 patients.

Authors
 Sang-Hoon Chung  ;  Myung-su Lee  ;  Kwang-Hun Lee  ;  Do Yun Lee  ;  Jong Youn Won  ;  Soon II Kim  ;  Kyung Sik Kim 
Citation
 Cardiovascular and Interventional Radiology, Vol.34(6) : 1236-1243, 2011 
Journal Title
 Cardiovascular and Interventional Radiology 
ISSN
 0174-1551 
Issue Date
2011
Abstract
PURPOSE: To evaluate the clinical safety and effectiveness of foam sclerotherapy using polidocanol for preoperative portal vein embolization (PVE) before hemihepatectomy of the liver. MATERIALS AND METHODS: From March 2006 to October 2008, foam sclerotherapy using polidocanol was performed in 16 patients (male-to-female ratio of 12:4, age range 48-75 years [mean 62]) for PVE. Patients were diagnosed with Klatskin tumor (n = 13), gallbladder (GB) cancer (n = 2), or hepatocellular carcinoma (HCC) (n = 1). The foam was composed of a 1:2:1 ratio of 3% polidocanol (Aethoxysklerol; Kreussler Pharma, Wiesbaden, Germany), room air, and contrast media (Xenetix 350; Guerbet, Aulnay-Sous-Bois, France). The total amount of polidocanol used (2 to 8 mL [mean 4.6]) varied according to the volume of the target portal vein. We calculated the volume of future liver remnant (FLR) before and after PVE and evaluated complications associated with the use of polidocanol foam sclerotherapy for PVE. RESULTS: Technical success was achieved in all patients. All patients were comfortable throughout the procedure and did not experience pain during sclerotherapy. No periprocedural morbidity or mortality occurred. Patients underwent a liver dynamic computed tomography (CT) scan 2-4 weeks after PVE. FLR increased significantly after PVE using polidocanol foam from 19.3% (range 16-35%) before PVE to 27.8% (range 23-42%) after PVE (p = 0.001). All patients were operable for hemihepatectomy of the liver and achieved effective resection. CONCLUSION: Foam sclerotherapy using polidocanol is clinically safe and effective for preoperative PVE.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/95244
DOI
10.1007/s00270-010-0079-5
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실)
Yonsei Authors
김경식(Kim, Kyung Sik) ; 김순일(Kim, Soon Il) ; 원종윤(Won, Jong Yun) ; 이광훈(Lee, Kwang Hun) ; 이도연(Lee, Do Yun) ; 이명수(Lee, Myung Su)
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Full Text
http://link.springer.com/article/10.1007%2Fs00270-010-0079-5
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