Radiology, Vol 178, 353-355, Copyright © 1991 by Radiological Society of North America
Hepatic arterial embolization in cases of extensive celiac arterial stenosis
S Hori, E Inoue, Y Narumi, M Fujita and K Kadowaki
Department of Diagnostic Radiology, Center for Adult Diseases, Osaka, Japan.
Transarterial hepatic embolization was attempted in 10 and succeeded in
nine patients with hepatocellular carcinoma accompanied by extensive celiac
arterial stenosis. All catheterization was done through the femoral artery.
In six cases, the tip of the catheter (2.5-F ball-tip microcatheter in
three cases, 4-F ball-tip supple catheter in three cases) was placed in the
proper hepatic artery through the pancreaticoduodenal collaterals. In three
cases, a ball-tip microcatheter was injected from the guiding catheter,
which was placed in a pinhole of the celiac trunk. These techniques
involving flow- guided ball-tip catheters are of great value for hepatic
arterial catheterization in cases of extensive celiac arterial stenosis.
