Nikhil Amesur, MD, John S. Hammond, MD, Albert B. Zajko, MD, David A

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Presentation transcript:

Management of Unresectable Symptomatic Focal Nodular Hyperplasia with Arterial Embolization Nikhil Amesur, MD, John S. Hammond, MD, Albert B. Zajko, MD, David A. Geller, MD, T. Clark Gamblin, MD, MS Journal of Vascular and Interventional Radiology Volume 20, Issue 4, Pages 543-547 (April 2009) DOI: 10.1016/j.jvir.2009.01.001 Copyright © 2009 SIR Terms and Conditions

Figure (a) US scan demonstrates a 5-cm right lobe lesion that is isoechoic to the surrounding parenchyma and abuts all three hepatic veins (arrows). (b) T2-weighted MR image demonstrates a lesion in the right lobe of the liver with a central scar (arrow). (c) Celiac arteriogram demonstrates a hypervascular lesion (arrows) supplied by branches of the right (arrowheads) and left hepatic artery. (d) Selective arteriogram of a small branch of the right hepatic artery with a microcatheter demonstrates extensive vascularity of the lesion (arrow). (e) Common hepatic arteriogram obtained after embolization demonstrates absent arterial blood flow to the target lesion. (f) CT scan obtained 1 month after embolization demonstrates the previous hypervascular lesion to now be almost entirely hypovascular (arrows). (g) CT scan obtained at 3-year follow-up shows minimal residual lesion (arrow) at the site of previous embolization. Journal of Vascular and Interventional Radiology 2009 20, 543-547DOI: (10.1016/j.jvir.2009.01.001) Copyright © 2009 SIR Terms and Conditions