Advertisement

The Chinese-German Journal of Clinical Oncology

, Volume 2, Issue 3, pp 176–178 | Cite as

Hepatocellular carcinoma fed by the hepatic artery arising from the superior mesenteric artery: Angiographic analysis and interventional treatment

  • Mu Wei
  • Li Qiang
  • You Jian
  • Chen Jie
Original Articles

Abstract

Objective: To investigate the angiographic characteristics and the interventional catheterization techniques of hepatocellular carcinoma (HCC) fed by aberrant hepatic arteries arising from the superior mesenteric artery (SMA), namely SMA type.Methods: Digital subtraction angiography (DSA) manifestations and the data from interventional treatment in 41 cases of SMA type HCCs were retrospectively reviewed. The frequency of the aberrant arteries was summed up statistically and their anatomic characteristics (such as origin, course, branches and distribution) and the relationship with catheterization were described and analyzed.Results: Of 350 HCC cases, SMA type HCCs were/found in 41 cases (11.9%), including accessory right hepatic artery (15 cases, 36.5%), replaced right hepatic artery (16 cases, 39.0%), common hepatic artery (8 cases, 19.5%) and celiac artery arising from SMA (2 cases, 5.0%). Of the 31 cases with accessory or replaced right hepatic arteries, right hepatic arteries were small or absent on celiac angiograph in 29 cases (94.0%), and there was an avascular zone on the right liver. Superselective catheterization was successfully performed in 25 cases (61%) by using RH catheter, but the rest acquired successful superselective catheterization by using Cobra, Simmon catheters and microcatheters.Conclusion: SMA type is a commonly seen variation of hepatic arterial blood supply. A knowledge of this is very important in transcatheter arterial chemoembolization for HCC.

Key words

hepatocellular carcinoma blood supply interventional radiology 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Tian J M, Wang F, Ye H,et al. The regular and aberrant blood supply of hepatocellular carcinoma and its clinical significance. Chin J Radio, 1994, 28: 93–96.Google Scholar
  2. 2.
    Li JK, Zhang JS. DSA study of the aberrant hepatic arteries and its clinical significance. J Clin Radio, 2002, 21: 230–235.Google Scholar
  3. 3.
    Ruzicka FF Jr, Rossi P, Abrams RE,et al. Anomalous and parasitic arterial blood supply in the abdomen. Radiology, 1970, 96: 261–268.PubMedGoogle Scholar

Copyright information

© Editorial Office of The Chinese-German Journal of Clinical Oncology 2003

Authors and Affiliations

  1. 1.Department of Radiology, Southwest HospitalThird Military Medical UniversityChongqingChina

Personalised recommendations