Transfemoral hepatic vein catheterization reduces procedure time in double vein embolization

Background Double vein embolization with simultaneous embolization of the portal and hepatic vein aims to grow the future liver remnant in preparation for major hepatectomy. Transvenous hepatic vein embolization is usually done via a transjugular access. The purpose of this study is to describe the...
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Autor*in:	Steffen, Dominik A. [verfasserIn] Najafi, Arash [verfasserIn] Binkert, Christoph A. [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2024

Schlagwörter:	Double vein embolization Hepatic vein embolization

Anmerkung:	© The Author(s) 2024

Übergeordnetes Werk:	Enthalten in: CVIR endovascular - Springer International Publishing, 2018, 7(2024), 1 vom: 22. Mai
Übergeordnetes Werk:	volume:7 ; year:2024 ; number:1 ; day:22 ; month:05

Links:	Volltext

DOI / URN:	10.1186/s42155-024-00463-5

Katalog-ID:	SPR055948316

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520			\|a Background Double vein embolization with simultaneous embolization of the portal and hepatic vein aims to grow the future liver remnant in preparation for major hepatectomy. Transvenous hepatic vein embolization is usually done via a transjugular access. The purpose of this study is to describe the transfemoral approach as an alternative option and to discuss potential advantages. Results Twenty-three patients undergoing hepatic vein embolization via a transjugular (n = 10) or transfemoral access (n = 13) were evaluated retrospectively. In all cases the portal vein embolization was done first. All procedures were technically successful. There were no peri-interventional complications. Only two patients were not able to proceed to surgery. Standardized future liver remnant hypertrophy was non-inferior with the transfemoral approach compared to the transjugular route. Procedure time was significantly shorter in the transfemoral access group (40 ± 13 min) compared to the transjugular group (67 ± 13 min, p < 0.001). Conclusion Transfemoral hepatic vein embolization is feasible, safe, and faster due to easier catheterization, improved stability, and simpler patient preparation. These findings will need to be validated in larger studies.
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allfields	10.1186/s42155-024-00463-5 doi (DE-627)SPR055948316 (SPR)s42155-024-00463-5-e DE-627 ger DE-627 rakwb eng 610 VZ 610 VZ Steffen, Dominik A. verfasserin (orcid)0000-0002-9179-1084 aut Transfemoral hepatic vein catheterization reduces procedure time in double vein embolization 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Double vein embolization with simultaneous embolization of the portal and hepatic vein aims to grow the future liver remnant in preparation for major hepatectomy. Transvenous hepatic vein embolization is usually done via a transjugular access. The purpose of this study is to describe the transfemoral approach as an alternative option and to discuss potential advantages. Results Twenty-three patients undergoing hepatic vein embolization via a transjugular (n = 10) or transfemoral access (n = 13) were evaluated retrospectively. In all cases the portal vein embolization was done first. All procedures were technically successful. There were no peri-interventional complications. Only two patients were not able to proceed to surgery. Standardized future liver remnant hypertrophy was non-inferior with the transfemoral approach compared to the transjugular route. Procedure time was significantly shorter in the transfemoral access group (40 ± 13 min) compared to the transjugular group (67 ± 13 min, p < 0.001). Conclusion Transfemoral hepatic vein embolization is feasible, safe, and faster due to easier catheterization, improved stability, and simpler patient preparation. These findings will need to be validated in larger studies. Double vein embolization (dpeaa)DE-He213 Hepatic vein embolization (dpeaa)DE-He213 Najafi, Arash verfasserin aut Binkert, Christoph A. verfasserin aut Enthalten in CVIR endovascular Springer International Publishing, 2018 7(2024), 1 vom: 22. Mai (DE-627)102523247X (DE-600)2934084-6 2520-8934 nnns volume:7 year:2024 number:1 day:22 month:05 https://dx.doi.org/10.1186/s42155-024-00463-5 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2024 1 22 05
spelling	10.1186/s42155-024-00463-5 doi (DE-627)SPR055948316 (SPR)s42155-024-00463-5-e DE-627 ger DE-627 rakwb eng 610 VZ 610 VZ Steffen, Dominik A. verfasserin (orcid)0000-0002-9179-1084 aut Transfemoral hepatic vein catheterization reduces procedure time in double vein embolization 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Double vein embolization with simultaneous embolization of the portal and hepatic vein aims to grow the future liver remnant in preparation for major hepatectomy. Transvenous hepatic vein embolization is usually done via a transjugular access. The purpose of this study is to describe the transfemoral approach as an alternative option and to discuss potential advantages. Results Twenty-three patients undergoing hepatic vein embolization via a transjugular (n = 10) or transfemoral access (n = 13) were evaluated retrospectively. In all cases the portal vein embolization was done first. All procedures were technically successful. There were no peri-interventional complications. Only two patients were not able to proceed to surgery. Standardized future liver remnant hypertrophy was non-inferior with the transfemoral approach compared to the transjugular route. Procedure time was significantly shorter in the transfemoral access group (40 ± 13 min) compared to the transjugular group (67 ± 13 min, p < 0.001). Conclusion Transfemoral hepatic vein embolization is feasible, safe, and faster due to easier catheterization, improved stability, and simpler patient preparation. These findings will need to be validated in larger studies. Double vein embolization (dpeaa)DE-He213 Hepatic vein embolization (dpeaa)DE-He213 Najafi, Arash verfasserin aut Binkert, Christoph A. verfasserin aut Enthalten in CVIR endovascular Springer International Publishing, 2018 7(2024), 1 vom: 22. Mai (DE-627)102523247X (DE-600)2934084-6 2520-8934 nnns volume:7 year:2024 number:1 day:22 month:05 https://dx.doi.org/10.1186/s42155-024-00463-5 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2024 1 22 05
allfields_unstemmed	10.1186/s42155-024-00463-5 doi (DE-627)SPR055948316 (SPR)s42155-024-00463-5-e DE-627 ger DE-627 rakwb eng 610 VZ 610 VZ Steffen, Dominik A. verfasserin (orcid)0000-0002-9179-1084 aut Transfemoral hepatic vein catheterization reduces procedure time in double vein embolization 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Double vein embolization with simultaneous embolization of the portal and hepatic vein aims to grow the future liver remnant in preparation for major hepatectomy. Transvenous hepatic vein embolization is usually done via a transjugular access. The purpose of this study is to describe the transfemoral approach as an alternative option and to discuss potential advantages. Results Twenty-three patients undergoing hepatic vein embolization via a transjugular (n = 10) or transfemoral access (n = 13) were evaluated retrospectively. In all cases the portal vein embolization was done first. All procedures were technically successful. There were no peri-interventional complications. Only two patients were not able to proceed to surgery. Standardized future liver remnant hypertrophy was non-inferior with the transfemoral approach compared to the transjugular route. Procedure time was significantly shorter in the transfemoral access group (40 ± 13 min) compared to the transjugular group (67 ± 13 min, p < 0.001). Conclusion Transfemoral hepatic vein embolization is feasible, safe, and faster due to easier catheterization, improved stability, and simpler patient preparation. These findings will need to be validated in larger studies. Double vein embolization (dpeaa)DE-He213 Hepatic vein embolization (dpeaa)DE-He213 Najafi, Arash verfasserin aut Binkert, Christoph A. verfasserin aut Enthalten in CVIR endovascular Springer International Publishing, 2018 7(2024), 1 vom: 22. Mai (DE-627)102523247X (DE-600)2934084-6 2520-8934 nnns volume:7 year:2024 number:1 day:22 month:05 https://dx.doi.org/10.1186/s42155-024-00463-5 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2024 1 22 05
allfieldsGer	10.1186/s42155-024-00463-5 doi (DE-627)SPR055948316 (SPR)s42155-024-00463-5-e DE-627 ger DE-627 rakwb eng 610 VZ 610 VZ Steffen, Dominik A. verfasserin (orcid)0000-0002-9179-1084 aut Transfemoral hepatic vein catheterization reduces procedure time in double vein embolization 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Double vein embolization with simultaneous embolization of the portal and hepatic vein aims to grow the future liver remnant in preparation for major hepatectomy. Transvenous hepatic vein embolization is usually done via a transjugular access. The purpose of this study is to describe the transfemoral approach as an alternative option and to discuss potential advantages. Results Twenty-three patients undergoing hepatic vein embolization via a transjugular (n = 10) or transfemoral access (n = 13) were evaluated retrospectively. In all cases the portal vein embolization was done first. All procedures were technically successful. There were no peri-interventional complications. Only two patients were not able to proceed to surgery. Standardized future liver remnant hypertrophy was non-inferior with the transfemoral approach compared to the transjugular route. Procedure time was significantly shorter in the transfemoral access group (40 ± 13 min) compared to the transjugular group (67 ± 13 min, p < 0.001). Conclusion Transfemoral hepatic vein embolization is feasible, safe, and faster due to easier catheterization, improved stability, and simpler patient preparation. These findings will need to be validated in larger studies. Double vein embolization (dpeaa)DE-He213 Hepatic vein embolization (dpeaa)DE-He213 Najafi, Arash verfasserin aut Binkert, Christoph A. verfasserin aut Enthalten in CVIR endovascular Springer International Publishing, 2018 7(2024), 1 vom: 22. Mai (DE-627)102523247X (DE-600)2934084-6 2520-8934 nnns volume:7 year:2024 number:1 day:22 month:05 https://dx.doi.org/10.1186/s42155-024-00463-5 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2024 1 22 05
allfieldsSound	10.1186/s42155-024-00463-5 doi (DE-627)SPR055948316 (SPR)s42155-024-00463-5-e DE-627 ger DE-627 rakwb eng 610 VZ 610 VZ Steffen, Dominik A. verfasserin (orcid)0000-0002-9179-1084 aut Transfemoral hepatic vein catheterization reduces procedure time in double vein embolization 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2024 Background Double vein embolization with simultaneous embolization of the portal and hepatic vein aims to grow the future liver remnant in preparation for major hepatectomy. Transvenous hepatic vein embolization is usually done via a transjugular access. The purpose of this study is to describe the transfemoral approach as an alternative option and to discuss potential advantages. Results Twenty-three patients undergoing hepatic vein embolization via a transjugular (n = 10) or transfemoral access (n = 13) were evaluated retrospectively. In all cases the portal vein embolization was done first. All procedures were technically successful. There were no peri-interventional complications. Only two patients were not able to proceed to surgery. Standardized future liver remnant hypertrophy was non-inferior with the transfemoral approach compared to the transjugular route. Procedure time was significantly shorter in the transfemoral access group (40 ± 13 min) compared to the transjugular group (67 ± 13 min, p < 0.001). Conclusion Transfemoral hepatic vein embolization is feasible, safe, and faster due to easier catheterization, improved stability, and simpler patient preparation. These findings will need to be validated in larger studies. Double vein embolization (dpeaa)DE-He213 Hepatic vein embolization (dpeaa)DE-He213 Najafi, Arash verfasserin aut Binkert, Christoph A. verfasserin aut Enthalten in CVIR endovascular Springer International Publishing, 2018 7(2024), 1 vom: 22. Mai (DE-627)102523247X (DE-600)2934084-6 2520-8934 nnns volume:7 year:2024 number:1 day:22 month:05 https://dx.doi.org/10.1186/s42155-024-00463-5 X:SPRINGER Resolving-System kostenfrei Volltext SYSFLAG_0 GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2024 1 22 05
language	English
source	Enthalten in CVIR endovascular 7(2024), 1 vom: 22. Mai volume:7 year:2024 number:1 day:22 month:05
sourceStr	Enthalten in CVIR endovascular 7(2024), 1 vom: 22. Mai volume:7 year:2024 number:1 day:22 month:05
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Double vein embolization Hepatic vein embolization
dewey-raw	610
isfreeaccess_bool	true
container_title	CVIR endovascular
authorswithroles_txt_mv	Steffen, Dominik A. @@aut@@ Najafi, Arash @@aut@@ Binkert, Christoph A. @@aut@@
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Transvenous hepatic vein embolization is usually done via a transjugular access. The purpose of this study is to describe the transfemoral approach as an alternative option and to discuss potential advantages. Results Twenty-three patients undergoing hepatic vein embolization via a transjugular (n = 10) or transfemoral access (n = 13) were evaluated retrospectively. In all cases the portal vein embolization was done first. All procedures were technically successful. There were no peri-interventional complications. Only two patients were not able to proceed to surgery. Standardized future liver remnant hypertrophy was non-inferior with the transfemoral approach compared to the transjugular route. Procedure time was significantly shorter in the transfemoral access group (40 ± 13 min) compared to the transjugular group (67 ± 13 min, p < 0.001). Conclusion Transfemoral hepatic vein embolization is feasible, safe, and faster due to easier catheterization, improved stability, and simpler patient preparation. 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author	Steffen, Dominik A.
spellingShingle	Steffen, Dominik A. ddc 610 misc Double vein embolization misc Hepatic vein embolization Transfemoral hepatic vein catheterization reduces procedure time in double vein embolization
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topic_title	610 VZ Transfemoral hepatic vein catheterization reduces procedure time in double vein embolization Double vein embolization (dpeaa)DE-He213 Hepatic vein embolization (dpeaa)DE-He213
topic	ddc 610 misc Double vein embolization misc Hepatic vein embolization
topic_unstemmed	ddc 610 misc Double vein embolization misc Hepatic vein embolization
topic_browse	ddc 610 misc Double vein embolization misc Hepatic vein embolization
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title	Transfemoral hepatic vein catheterization reduces procedure time in double vein embolization
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title_full	Transfemoral hepatic vein catheterization reduces procedure time in double vein embolization
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author_browse	Steffen, Dominik A. Najafi, Arash Binkert, Christoph A.
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title_sort	transfemoral hepatic vein catheterization reduces procedure time in double vein embolization
title_auth	Transfemoral hepatic vein catheterization reduces procedure time in double vein embolization
abstract	Background Double vein embolization with simultaneous embolization of the portal and hepatic vein aims to grow the future liver remnant in preparation for major hepatectomy. Transvenous hepatic vein embolization is usually done via a transjugular access. The purpose of this study is to describe the transfemoral approach as an alternative option and to discuss potential advantages. Results Twenty-three patients undergoing hepatic vein embolization via a transjugular (n = 10) or transfemoral access (n = 13) were evaluated retrospectively. In all cases the portal vein embolization was done first. All procedures were technically successful. There were no peri-interventional complications. Only two patients were not able to proceed to surgery. Standardized future liver remnant hypertrophy was non-inferior with the transfemoral approach compared to the transjugular route. Procedure time was significantly shorter in the transfemoral access group (40 ± 13 min) compared to the transjugular group (67 ± 13 min, p < 0.001). Conclusion Transfemoral hepatic vein embolization is feasible, safe, and faster due to easier catheterization, improved stability, and simpler patient preparation. These findings will need to be validated in larger studies. © The Author(s) 2024
abstractGer	Background Double vein embolization with simultaneous embolization of the portal and hepatic vein aims to grow the future liver remnant in preparation for major hepatectomy. Transvenous hepatic vein embolization is usually done via a transjugular access. The purpose of this study is to describe the transfemoral approach as an alternative option and to discuss potential advantages. Results Twenty-three patients undergoing hepatic vein embolization via a transjugular (n = 10) or transfemoral access (n = 13) were evaluated retrospectively. In all cases the portal vein embolization was done first. All procedures were technically successful. There were no peri-interventional complications. Only two patients were not able to proceed to surgery. Standardized future liver remnant hypertrophy was non-inferior with the transfemoral approach compared to the transjugular route. Procedure time was significantly shorter in the transfemoral access group (40 ± 13 min) compared to the transjugular group (67 ± 13 min, p < 0.001). Conclusion Transfemoral hepatic vein embolization is feasible, safe, and faster due to easier catheterization, improved stability, and simpler patient preparation. These findings will need to be validated in larger studies. © The Author(s) 2024
abstract_unstemmed	Background Double vein embolization with simultaneous embolization of the portal and hepatic vein aims to grow the future liver remnant in preparation for major hepatectomy. Transvenous hepatic vein embolization is usually done via a transjugular access. The purpose of this study is to describe the transfemoral approach as an alternative option and to discuss potential advantages. Results Twenty-three patients undergoing hepatic vein embolization via a transjugular (n = 10) or transfemoral access (n = 13) were evaluated retrospectively. In all cases the portal vein embolization was done first. All procedures were technically successful. There were no peri-interventional complications. Only two patients were not able to proceed to surgery. Standardized future liver remnant hypertrophy was non-inferior with the transfemoral approach compared to the transjugular route. Procedure time was significantly shorter in the transfemoral access group (40 ± 13 min) compared to the transjugular group (67 ± 13 min, p < 0.001). Conclusion Transfemoral hepatic vein embolization is feasible, safe, and faster due to easier catheterization, improved stability, and simpler patient preparation. These findings will need to be validated in larger studies. © The Author(s) 2024
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title_short	Transfemoral hepatic vein catheterization reduces procedure time in double vein embolization
url	https://dx.doi.org/10.1186/s42155-024-00463-5
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author2	Najafi, Arash Binkert, Christoph A.
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up_date	2024-07-03T19:09:39.318Z
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