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Updated: May 15, 2025

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Rarely Seen, Highly Significant: Aberrant Distal Esophageal Artery in TARE Treatments
Ismail Dilek1, Alaaddin Nayman1, Hasan Onner2
1Departments of Radiology.
Abstract:
Transarterial radioembolization (TARE) is a 2-stage procedure involving a simulation phase and a treatment phase. The initial phase aims to define hepatic arterial anatomy, tumor-feeding vessels, and variations, and to perform technical simulation for the treatment phase. The treatment phase involves the administration of Yttrium-90 (Y-90)-loaded microspheres. This report presents a 60-year-old man with cholangiocarcinoma, exhibiting a rare variation of a distal esophageal artery originating from the hepatic artery, detected using contrast-enhanced Cone-Beam CT during the simulation phase. SPECT after 99m Tc MAA injection confirmed extrahepatic accumulation in the distal esophagus and gastric cardia.
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