Imaging guided percutaneous interventions in hepatic dome lesions: Tips and tricks
Avinash Kambadakone1, Vinit Baliyan1, Hamed Kordbacheh1
1Avinash Kambadakone, Vinit Baliyan, Hamed Kordbacheh, Raul N Uppot, Ashraf Thabet, Debra A Gervais, Ronald S Arellano, Harvard Medical School, Abdominal Imaging and Interventional Radiology, Massachusetts General Hospital, Boston, MA 02114, United States.
World Journal of Hepatology
|July 26, 2017
Summary
Percutaneous hepatic interventions targeting the hepatic dome require special techniques. This review details maneuvers to improve safety and success for accessing this challenging liver region.
Area of Science:
- Interventional Radiology
- Hepatobiliary Medicine
- Surgical Anatomy
Background:
- Percutaneous hepatic interventions are common and generally safe due to liver accessibility.
- The superior aspect of the liver, the hepatic dome, poses unique challenges for percutaneous access.
- Anatomical limitations and proximity to vital structures necessitate specialized approaches for hepatic dome interventions.
Purpose of the Study:
- To review specific techniques and maneuvers for percutaneous interventions in the hepatic dome.
- To enhance the safety and success rates of procedures in this anatomically challenging liver area.
- To provide guidance for interventionists managing hepatic dome access.
Main Methods:
- Review of existing literature on percutaneous hepatic interventions.
- Analysis of anatomical considerations for accessing the hepatic dome.
- Description of specialized techniques and safety measures.
Main Results:
- The hepatic dome's location near the diaphragm requires careful planning.
- Specific patient positioning and instrument angles can facilitate access.
- Techniques to avoid injury to surrounding organs like the pleura and lungs are crucial.
Conclusions:
- Interventions in the hepatic dome can be performed safely and effectively with appropriate techniques.
- Understanding the unique anatomical challenges is key to successful hepatic dome access.
- This review provides valuable insights for optimizing percutaneous hepatic dome procedures.
