Arterioportal Fistulas APF in Liver Tumors: Prognosis in Relation to TreatmentReportar como inadecuado

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HPB Surgery - Volume 5 1992, Issue 2, Pages 87-94

Central Research Institute of Roentgenology and Radiology, ul. Leningradskaja 70-4, Pesochny-2, Leningrad 189646, Russia

Received 3 April 1991; Accepted 3 April 1991

Copyright © 1992 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Prognosis of 16 patients with hepatic tumors and angiographically proven arterioportal fistulas wasanalysed in relation to treatment. Six patients received only conservative therapy; they all died ofvariceal bleeding in the course of two months after angiography. Hepatic resection was performed infour patients; three of them are still alive 13–52 months later including two free of both the tumor andportal hypertension. Hepatic artery embolization was carried out in six patients. All of them died in 2–36 months after the procedure, but only two from gastroesophageal hemorrhage. It is concluded that prognosis of arterioportal fistulae in liver neoplasms is poor due to hyperkineticportal hypertension and following variceal bleeding. Hepatic resection of both the tumor and the fistulais the treatment of choice. In unresectable cases hepatic artery embolization will decrease the risk ofvariceal hemorrhage.

Autor: Anatoly M. Granov, Pavel G. Tarazov, and Vladimir K. Ryzhkov



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