Y-90-Radioembolization After Failed Portal Vein Embolization for Colorectal Liver Metastases: A Case Report

null Kurilova; null Pompa; R. Guerrero; Mesa A. Tapias; Mizrrahi D. Calatayud; C. Fondevila; J. A. Gonzalez; J. Duch; F. M. Gomez

doi:10.1007/s00270-020-02537-y

Y-90-Radioembolization After Failed Portal Vein Embolization for Colorectal Liver Metastases: A Case Report

Kurilova, Pompa, R. Guerrero, Mesa A. Tapias, Mizrrahi D. Calatayud, C. Fondevila, J. A. Gonzalez, J. Duch, F. M. Gomez^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

The main limiting factor for liver resection is insufficient future liver remnant (FLR). Portal vein embolization (PVE) is a standard of care treatment to induce FLR hypertrophy, but it is not always efficient. Radioembolization (RE) has a potential to induce liver hypertrophy for PVE-refractory patients. However, this was reported only for the patients with hepatocellular carcinoma. We described two cases of lobar RE after PVE failure for the patients with colorectal liver metastases. This enabled to reach sufficient FLR, provide good local disease control and bridge the patients to extended hepatectomy.

Original language	English
Pages (from-to)	1232-1236
Number of pages	5
Journal	Cardiovascular and Interventional Radiology
Volume	43
Issue number	8
DOIs	https://doi.org/10.1007/s00270-020-02537-y
Publication status	Published - Aug 2020

Keywords

Radioembolization
Colorectal cancer
Liver metastases
Ablation
INTERNAL RADIATION-THERAPY
PERCUTANEOUS RADIOFREQUENCY ABLATION
HEPATIC RESECTION
CHEMOEMBOLIZATION
DISEASE
SAFETY
SIRT

Access to Document

10.1007/s00270-020-02537-y

Cite this

@article{e2f80254400945b8a7953ae32c144962,

title = "Y-90-Radioembolization After Failed Portal Vein Embolization for Colorectal Liver Metastases: A Case Report",

abstract = "The main limiting factor for liver resection is insufficient future liver remnant (FLR). Portal vein embolization (PVE) is a standard of care treatment to induce FLR hypertrophy, but it is not always efficient. Radioembolization (RE) has a potential to induce liver hypertrophy for PVE-refractory patients. However, this was reported only for the patients with hepatocellular carcinoma. We described two cases of lobar RE after PVE failure for the patients with colorectal liver metastases. This enabled to reach sufficient FLR, provide good local disease control and bridge the patients to extended hepatectomy.",

keywords = "Radioembolization, Colorectal cancer, Liver metastases, Ablation, INTERNAL RADIATION-THERAPY, PERCUTANEOUS RADIOFREQUENCY ABLATION, HEPATIC RESECTION, CHEMOEMBOLIZATION, DISEASE, SAFETY, SIRT",

author = "Kurilova and Pompa and R. Guerrero and Tapias, {Mesa A.} and Calatayud, {Mizrrahi D.} and C. Fondevila and Gonzalez, {J. A.} and J. Duch and Gomez, {F. M.}",

note = "Publisher Copyright: {\textcopyright} 2020, Springer Science+Business Media, LLC, part of Springer Nature and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).",

year = "2020",

month = aug,

doi = "10.1007/s00270-020-02537-y",

language = "English",

volume = "43",

pages = "1232--1236",

journal = "Cardiovascular and Interventional Radiology",

issn = "0174-1551",

publisher = "Springer, Cham",

number = "8",

}

TY - JOUR

T1 - Y-90-Radioembolization After Failed Portal Vein Embolization for Colorectal Liver Metastases

T2 - A Case Report

AU - Kurilova, null

AU - Pompa, null

AU - Guerrero, R.

AU - Tapias, Mesa A.

AU - Calatayud, Mizrrahi D.

AU - Fondevila, C.

AU - Gonzalez, J. A.

AU - Duch, J.

AU - Gomez, F. M.

PY - 2020/8

Y1 - 2020/8

N2 - The main limiting factor for liver resection is insufficient future liver remnant (FLR). Portal vein embolization (PVE) is a standard of care treatment to induce FLR hypertrophy, but it is not always efficient. Radioembolization (RE) has a potential to induce liver hypertrophy for PVE-refractory patients. However, this was reported only for the patients with hepatocellular carcinoma. We described two cases of lobar RE after PVE failure for the patients with colorectal liver metastases. This enabled to reach sufficient FLR, provide good local disease control and bridge the patients to extended hepatectomy.

AB - The main limiting factor for liver resection is insufficient future liver remnant (FLR). Portal vein embolization (PVE) is a standard of care treatment to induce FLR hypertrophy, but it is not always efficient. Radioembolization (RE) has a potential to induce liver hypertrophy for PVE-refractory patients. However, this was reported only for the patients with hepatocellular carcinoma. We described two cases of lobar RE after PVE failure for the patients with colorectal liver metastases. This enabled to reach sufficient FLR, provide good local disease control and bridge the patients to extended hepatectomy.

KW - Radioembolization

KW - Colorectal cancer

KW - Liver metastases

KW - Ablation

KW - INTERNAL RADIATION-THERAPY

KW - PERCUTANEOUS RADIOFREQUENCY ABLATION

KW - HEPATIC RESECTION

KW - CHEMOEMBOLIZATION

KW - DISEASE

KW - SAFETY

KW - SIRT

U2 - 10.1007/s00270-020-02537-y

DO - 10.1007/s00270-020-02537-y

M3 - Article

C2 - 32514612

SN - 0174-1551

VL - 43

SP - 1232

EP - 1236

JO - Cardiovascular and Interventional Radiology

JF - Cardiovascular and Interventional Radiology

IS - 8

ER -