Aberrant arc between the common hepatic artery and a replaced right hepatic artery resulting in misperfusion in a patient with a hepatic arterial infusion pump

Omar Hasan, Stephanie Greco, Timothy Kennedy, Darren Carpizo, Jeffrey Kempf, John Nosher

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Hepatic arterial infusion pumps are increasingly utilized as an option for liver directed therapy in the treatment of metastatic colorectal carcinoma. After skeletonization of the hepatic artery through the ligation of extra-hepatic branches, these pumps are implanted surgically with their tip placed in the common hepatic artery. Subsequently, a nuclear medicine pump study is performed to ensure homogeneous perfusion of the liver and detect any extrahepatic perfusion. We report a peripheral arc between the superior mesenteric artery and celiac axis, which caused misperfusion on the SPECT nuclear medicine scan.

Original languageEnglish (US)
Pages (from-to)355-358
Number of pages4
JournalSurgical and Radiologic Anatomy
Volume41
Issue number3
DOIs
StatePublished - Mar 1 2019

All Science Journal Classification (ASJC) codes

  • Anatomy
  • Surgery
  • Pathology and Forensic Medicine
  • Radiology Nuclear Medicine and imaging

Keywords

  • Celiac artery
  • Colorectal cancer
  • Hepatic artery
  • Hepatic artery infusion pump
  • Hepatic artery variants
  • Misperfusion
  • Superior mesenteric artery

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