• The gastroduodenal branch of the common hepatic artery passes behind the duodenum and divides into the right gastroepiploic artery and the superior pancreaticoduodenal artery. (healthline.com)
  • The superior pancreaticoduodenal artery divides into anterior and posterior branches that circle the head of the pancreas and connect with the inferior pancreaticoduodenal artery. (healthline.com)
  • The gastroduodenal artery gives rise to the posterior superior pancreaticoduodenal artery and may also give off the supraduodenal artery near the upper border of the superior part of the duodenum. (anatomy.app)
  • When it reaches the lower border of the superior part of the duodenum, it divides into two terminal branches: right gastro-omental artery and anterior superior pancreaticoduodenal artery. (anatomy.app)
  • The anterior superior pancreaticoduodenal artery descends and supplies the head of the pancreas and the duodenum (along with the posterior superior pancreaticoduodenal artery). (anatomy.app)
  • The hepatic portal vein is a vessel that moves blood from the spleen and gastrointestinal tract to the liver. (healthline.com)
  • From the arising point, the RRHA is oriented ascending to the right, passing initially posterior to the hepatic portal vein and the head of the pancreas, then lateral to the head of the pancreas and posterior to the hepatic portal vein, after entering the hepatic parenchyma to bifurcate into the anterior and posterior branches. (rjme.ro)
  • The artery travels on the left side of the bile duct and anterior to the portal vein . (anatomy.app)
  • This study aimed to study portal vein and hepatic artery hemodynamic variation in non-alcoholic fatty liver and to correlate it with disease severity. (springeropen.com)
  • Doppler findings showed that peak maximum velocity, peak minimum velocity, mean flow velocity, portal vein pulsatility index of portal vein, and hepatic artery resistivity index were significantly lower in non-alcoholic fatty liver disease patients than in healthy people. (springeropen.com)
  • Duplex Doppler ultrasonography (US) is an important non-invasive method in evaluating hepatic vasculature and diagnosing some liver parenchymal diseases [ 7 ] as diffuse fatty infiltration in the liver alters hemodynamics in the portal vein as well as hepatic artery resistance [ 8 ]. (springeropen.com)
  • Hepatic artery guiding technique could increase the feasibility of portal vein puncture in TIPS without a significant increase in radiation dose. (brieflands.com)
  • Furthermore, it is agreed upon that puncture from the hepatic vein to the portal vein to create a shunt is the most challenging step in the procedure ( 2 , 8 - 10 ). (brieflands.com)
  • For instance, procedures such as wedge hepatic portography with CO 2 injection, intravenous ultrasound (IVUS), direct portography via portal vein puncture and ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI)-guided puncture have been introduced. (brieflands.com)
  • introduced hepatic artery targeting wire with fluoroscopy to facilitate portal vein puncture ( 10 ). (brieflands.com)
  • Celiac angiogram and US images ( a - b ) showing immediate thrombosis formation in the portal vein and aneurysm sac while preserving hepatic artery circulation. (springeropen.com)
  • The liver receives oxygenated blood from both the portal vein and the hepatic artery. (proprofs.com)
  • The portal vein carries nutrient-rich blood from the intestines to the liver, while the hepatic artery supplies oxygenated blood from the heart to the liver. (proprofs.com)
  • Encasement of hepatic artery and portal vein regurgitation was respectively 4 cases. (osti.gov)
  • Criteria for resectability include absence of all of the following: retropancreatic and paraceliac nodal metastases or distant liver metastases, invasion of the portal vein or main hepatic artery (although some centers can offer vascular reconstruction), extrahepatic adjacent organ invasion, and disseminated disease. (medscape.com)
  • Hepatic infarction is an extremely rare situation because the liver has a dual blood supply from the hepatic artery and portal vein . (radiopaedia.org)
  • Hepatic infarction can occur when there is both hepatic arterial and portal vein flow compromise but most cases are due to acute portal venous flow compromise 11 . (radiopaedia.org)
  • Circulation to the gallbladder is supplied primarily by the cystic artery, a branch of the right hepatic artery, and the cystic veins, which drain directly into the portal vein. (cdc.gov)
  • Subsequent angiography confirmed occlusion at the hepatic arterial anastomosis. (medscape.com)
  • To clarify the hemodynamic changes under balloon occlusion of the hepatic artery and to identify predictors of the short-term therapeutic effect (TE) after balloon-occluded transcatheter arterial chemoembolization using miriplatin (B-TACE) for hepatocellular carcinoma (HCC). (springeropen.com)
  • Computed tomography during hepatic arteriography (CTHA) is a sophisticated method for estimating the hepatic arterial flow. (springeropen.com)
  • Pseudoaneurysms of the hepatic artery are a rare complication in patients with primary or secondary liver tumors treated with intra-arterial chemotherapy. (biomedcentral.com)
  • In a subsequent angiography via a transfemoral access a stent-graft was placed into the hepatic artery in order to preserve arterial hepatic perfusion. (biomedcentral.com)
  • A majority of these tumors derive their blood supply from the hepatic arterial system, and delivering chemotherapy to the tumors through the hepatic arterial system allows us to give higher doses of specific chemotherapeutic agents without exposing the patient to their systemic toxicities. (onclive.com)
  • Hepatic infarction caused by arterial insufficiency: spectrum and evolution of CT findings. (radiopaedia.org)
  • The biliary anatomy of the liver generally follows hepatic arterial divisions. (medscape.com)
  • Sildenafil used to treat pulmonary arterial hypertension (high blood pressure in the pulmonary artery). (who.int)
  • The common hepatic artery splits into the proper hepatic artery and the gastroduodenal artery. (healthline.com)
  • The proper hepatic artery enters the porta hepatis where it splits into the left and right hepatic arteries that supply the liver. (healthline.com)
  • The right hepatic artery usually branches off the proper hepatic artery or the left hepatic artery but this varies in different people. (healthline.com)
  • The hepatic artery proper (also called proper hepatic artery) is a branch of the common hepatic artery that provides blood supply to the liver and gallbladder. (anatomy.app)
  • Often the proper hepatic artery gives rise to the right gastric artery . (anatomy.app)
  • In most cases, it arises from the proper hepatic artery, as mentioned before. (anatomy.app)
  • The celiac angiogram shows a pseudoaneurysm (arrow) of the proper hepatic artery located next to the origin of the gastroduodenal artery, which is occluded by the chemotherapy infusion catheter (arrowheads) . (biomedcentral.com)
  • The common hepatic artery gives rise to the following branches: hepatic artery proper, gastroduodenal artery, and, occasionally, right gastric artery. (anatomy.app)
  • The gastroduodenal artery is a small blood vessel that most commonly arises from the common hepatic artery but may have variations in its origin. (anatomy.app)
  • The gastroduodenal artery itself continues to descend posterior to the superior part of the duodenum. (anatomy.app)
  • We present two patients who developed this complication after placement of a catheter system into the gastroduodenal artery and initiation of regional chemotherapy with floxuridine. (biomedcentral.com)
  • Surgical or percutaneous placement of a subcutaneous device allows chemotherapy to be delivered continuously into the gastroduodenal artery via a catheter. (biomedcentral.com)
  • We surgically place the pump underneath the skin, outside of the abdominal cavity, and it is attached to tubing that enters the abdominal cavity and goes into the gastroduodenal artery. (onclive.com)
  • During surgery, we block blood flow from the gastroduodenal artery from going into portions of the small intestine so that the therapy flows only to the liver. (onclive.com)
  • portal veins and gastroduodenal arteries were exposed.Results: Three cadaveric cases of the accessory right hepatic arteries arising from the superior mesenteric arteries were observed. (bvsalud.org)
  • Variations in the origin and from the gastroduodenal artery. (who.int)
  • Knowledge of this hepatic and renal anatomical variation is important for interventional radiologists, vascular experts, oncologists, vascular, hepatic and urologic surgeons. (rjme.ro)
  • A case of vascular Ehlers-Danlos syndrome with a ruptured hepatic artery after surgical treatment of peritonitis caused by the perforation of the colon. (bvsalud.org)
  • Studies on hepatic vasculature can be informative about parenchymal injury and disease severity through the study of changes affecting vascular compliance. (springeropen.com)
  • The cystic artery originates from the right hepatic artery and supplies blood to the gallbladder. (healthline.com)
  • The connection between the left and right hepatic ducts forms the common hepatic duct, whose function is to drain bile from the liver. (healthline.com)
  • We are reporting a case of aberrant type of right hepatic artery originating from superior mesenteric artery and encircles the gallbladder that has been found during laparoscopic cholecystectomy operation. (iium.edu.my)
  • However, the right hepatic artery was identified encircling the gallbladder body anteriorly before entering the liver. (iium.edu.my)
  • Further identification upon open cholecystectomy revealed right hepatic artery originates from superior mesenteric artery runs anterior to cystic duct and encircles the gallbladder before further branches into right and left lobe of the liver. (iium.edu.my)
  • Right hepatic artery was dissected from the gallbladder and the gallbladder removed after cystic duct ligation and separation from the liver bed. (iium.edu.my)
  • Knowledge regarding anatomical structure and variant of hepatic artery as well as cystic artery and cystic duct is important to ensure the inadvertent ligation of right hepatic artery which would leads to hepatic ischemia and necrosis. (iium.edu.my)
  • Spectral Doppler ultrasonographic waveform of the right hepatic artery in a 60-year-old man, 8 years after orthotopic liver transplantation. (medscape.com)
  • Common hepatic artery is one of the three branches of Haller tripod and gives rise to the left and right hepatic arteries. (umbalk.org)
  • We describe the case of a 62-year-old woman with the right hepatic artery rising from abdominal aorta, diagnosed incidentally during an abdominal computed tomography angiography. (umbalk.org)
  • Tsoucalas G, Panagouli E, Vasilopoulos A, Karayiannakis A, Thomaidis V, Fiska A. Replaced right hepatic artery arising from abdominal aorta: a case report. (umbalk.org)
  • The authors illustrate a case of a 61-year-old male who presented an extremely rare association of anatomical variations highlighted by multi-detector computed tomography (MDCT) angiography, with a replaced right hepatic artery (RRHA) arising from inferior pancreaticoduodenal artery (IPDA), in association with left multiple renal arteries (RAs). (rjme.ro)
  • As the right hepatic artery approaches the liver, it gives rise to the cystic artery that supplies the gallbladder. (anatomy.app)
  • The right hepatic artery is missing after hemihepatectomy. (biomedcentral.com)
  • Right hepatic artery. (vesalius.com)
  • Common variations include a replaced right hepatic artery, which originates from the superior mesenteric artery, a replaced left hepatic artery, which is derived from the left gastric artery, or a completely replaced common hepatic artery, which can originate from the superior mesenteric artery or the aorta. (medscape.com)
  • The right hepatic vein is generally oval in shape, with its long axis in the line of the vena cava. (medscape.com)
  • accessory pancreatic or splenic arteries.Objective: To present three cases of accessory right hepatic artery originating from the superior mesenteric artery in black African cadavers as found during routine cadaveric dissections.Materials and Method: The abdomens of 8 adult male black African cadavers were dissected according to the description and guidance by Romanes (1996). (bvsalud.org)
  • Usually the group were obtained from a master sheet cystic artery arises from the right hepatic ar- completed by the surgeons. (who.int)
  • The origin of the cystic artery was from the of the cystic artery in Africans is not well right hepatic artery in 125 cases (78%), from documented. (who.int)
  • Magnetic resonance angiogram of the recipient celiac axis depicts complete occlusion of the hepatic artery. (medscape.com)
  • However, replaced common hepatic artery (CHA) arising from the superior mesenteric artery (SMA) was reportedly seen in 1.13% of 19,013 cases [ 4 ]. (hindawi.com)
  • a) Three-dimensional computed tomography scan of the abdomen reveals the replaced common hepatic artery arising from the superior mesenteric artery. (hindawi.com)
  • A 66-year-old man with hepatic metastases from gastric adenocarcinoma was treated on two occasions with 5-fluoro-2-deoxyuridine (FUdR) via hepatic artery infusion (HAI). (elsevierpure.com)
  • Aetna considers intra-hepatic chemotherapy (infusion) medically necessary for members with liver metastases from colorectal cancer. (aetna.com)
  • Intra-hepatic chemotherapy for other indications not listed above, including treatment of liver primaries or metastases from other primaries (e.g., breast) besides colorectal cancer. (aetna.com)
  • Intra-hepatic microspheres for metastases from esophageal cancer, gallbladder cancer, uveal melanom a, liver metastases of pancreatic adenocarcinoma, and other indications not listed above. (aetna.com)
  • There is inadequate information to document the effectiveness of PEI as an alternative to surgical resection for the treatment of hepatic metastases. (aetna.com)
  • Improving resectability of hepatic colorectal metastases: expert consensus statement. (cancercentrum.se)
  • The common hepatic artery is one of the final branches of the celiac artery. (healthline.com)
  • In its place, the left hepatic artery originated from the celiac trunk, while the right replaced hepatic artery was observed arising directly from the abdominal aorta. (umbalk.org)
  • In the completion celiac angiogram the common hepatic artery is occluded by the microcoils (arrows) . (biomedcentral.com)
  • The findings of selective celiac and/or hepatic arteriography in total 69 cases of confirmed hepatocellular carcinoma, with clinical and laboratory findings, were analyzed. (osti.gov)
  • 4. The selective celiac and/or hepatic angiograms are excellent diagnostic tools as well as therapeutic management for intraarterial infusion of anticancerous drugs. (osti.gov)
  • Patients with confirmed metastasis to N2 nodal stations (para-aortic, celiac, or superior mesenteric artery) do not benefit from radical resection and should receive systemic and/or palliative treatment. (medscape.com)
  • The hepatic artery is generally derived from the celiac axis, which originates on the ventral aorta at the level of the diaphragm. (medscape.com)
  • However, sometimes it originates directly from the common hepatic artery or the region where the common hepatic artery divides into its branches. (anatomy.app)
  • The liver is divided into two lobes by the middle hepatic vein: the right lobe of liver and the left lobe of liver. (healthline.com)
  • The middle hepatic vein can be used as an anatomical landmark to identify the left medial segment separate from the right anterior segment of the liver. (proprofs.com)
  • The left medial segment is located on the left lobe of the liver, and the middle hepatic vein serves as a boundary between this segment and the right anterior segment. (proprofs.com)
  • The middle hepatic vein courses with the main lobar fissure. (proprofs.com)
  • This led only to a partial exclusion of the aneurysm and was complicated by a dissection of the hepatic artery, reflecting its friability. (biomedcentral.com)
  • Implanted in adult patients to deliver chemotherapy medications in the treatment of liver tumors, the Intera 3000 Hepatic Artery Infusion Pump is used to "continuously deliver medicine through the hepatic artery, which is responsible for supplying blood and oxygen to the liver and a number of other organs. (trulaw.com)
  • Patients were treated with combined chemotherapy of epirubicin (EPIR), mitomycin C (MMC), 5-fluorouracil (5-FU), by hepatic infusion using a subcutaneously implanted reservoir. (nih.gov)
  • In this article we describe two patients who developed aneurysmatic cavities of the hepatic artery after regional chemotherapy with FUDR and presented with hemorrhage. (biomedcentral.com)
  • Cedars-Sinai is one of the few centers in the area to offer the therapy, called hepatic artery infusion (HAI) pump chemotherapy. (onclive.com)
  • What are the advantages of the hepatic artery infusion pump over traditional chemotherapy delivery? (onclive.com)
  • Data shows that up to 60% of appropriately selected patients receiving hepatic artery infusion pump chemotherapy were then able to receive curative surgery. (onclive.com)
  • Patients can often continue receiving systemic chemotherapy in combination with hepatic artery infusion pump chemotherapy. (onclive.com)
  • The organs supplied by this artery and its branches include the liver , gallbladder, pylorus of the stomach , duodenum , and pancreas . (anatomy.app)
  • Hepatic resection in 485 R0 pT2 and pT3 cases of advanced carcinoma of the gallbladder: results of a Japanese Society of Biliary Surgery survey--a multicenter study. (cancercentrum.se)
  • The right gastroepiploic artery is often used as a graft for coronary artery bypasses. (healthline.com)
  • Difficult HARs have been described as graft or recipient hepatic artery ≤2 mm, intimal dissection of graft or recipient hepatic artery (HA), size difference (≥2 to 1), numerous hepatic arteries, inferior quality, and prompt redo during transplantation. (physiciansweekly.com)
  • Early vessel injury recognition, precise HA dissection, the use of clips to ligate branches, an oblique cut for all HARs, a modified funneling method for size discrepancy, liberal use of an alternative artery to replace a pathologic HA, and reconstruction of a second HA for grafts with dual hepatic arteries in the graft are just a few of the technique refinements. (physiciansweekly.com)
  • Ultrasonography (US), CT, MRI, cholangiography, angiography and scintigraphy are the most common radiological modalities used to evaluate the hepatic graft. (medscape.com)
  • between the cursors) of the hepatic graft. (medscape.com)
  • These arteries eventually anastomose with the anterior and posterior branches of the inferior pancreaticoduodenal artery. (anatomy.app)
  • This approach is based on the rationale that local therapy through the hepatic artery increases the exposure of the liver tumors to cytotoxic agents, leading to higher response rates while limiting systemic side effects like myelosuppression, mucositis and diarrhea. (biomedcentral.com)
  • The hepatic artery supplies 30% of the blood flow to the normal liver parenchyma but greater than 90% to hepatic tumors, including both HCC and metastatic lesions. (medscape.com)
  • The biliary tree also includes the cystic duct, the right and left hepatic ducts, and the common hepatic and common bile ducts, as well as a series of microscopic biliary vessels. (cdc.gov)
  • There is significant variation in the biliary anatomy, and thus, careful preoperative imaging is vital before any major hepatic resection. (medscape.com)
  • This study documents variations in the origin of the cystic artery and its location in relation to the biliary ducts among 106 Sudanese people and compared the variations between the sexes and races. (who.int)
  • 3%). No cases arising from other arteries to the biliary ducts among Sudanese people were noted. (who.int)
  • The hepatic duct then divides into two or three additional ducts draining the liver. (medscape.com)
  • tery, passing behind the common hepatic and The anatomy of the cystic artery and the cystic duct in the Calot triangle, to reach the extrabiliary ducts were examined. (who.int)
  • On January 13, 2023, the FDA updated a July 10, 2022 Class I recall of Intera Oncology's Intera 3000 Hepatic Artery Infusion Pump to clarify that a failure to recognize and adjust the product's faster-than-normal flow rates may result in major adverse health outcomes. (trulaw.com)
  • To conclude, although type I classification which describes the textbook pattern of hepatic artery distribution was significantly detected among the Sudanese population, other variants were to be considered since they are related to major arteries like aorta and superior mesenteric. (bvsalud.org)
  • However, more than half of patients receiving hepatic artery infusion pump therapy go on to receive curative surgery, studies have shown. (onclive.com)
  • Which patients are likely to benefit from hepatic artery infusion pump therapy? (onclive.com)
  • Although liver failure can be treated via hepatocyte transplantation, it also faces multiple problems comprising the shortage of high-quality hepatocytes sources, rejection of allogeneic transplants, difficulty to expand, and losing hepatic characteristics in vitro [ 7 , 8 ]. (springer.com)
  • After transplantation, clinicians noted decreased hepatic artery flow. (cdc.gov)
  • Strategies for a successful hepatic artery anastomosis in liver transplantation: A. (annals.edu.sg)
  • Prior trials have shown that surgery followed by hepatic artery infusion (HAI) of floxuridine (FUDR) alternating with systemic fluorouracil improves survival rates. (ochsner.org)
  • However, the application of floxuridine-deoxy-ribose (FUDR), a prodrug of 5-fluorouracil (5-FU) with a high liver extraction fraction, into the hepatic artery can cause several complications. (biomedcentral.com)
  • Cholesterol, which is produced by the liver and is also delivered through the artery liver, it is used by the body to make a greenish yellow liquid called bile. (antonialive.com)
  • The second terminal artery, called the "isolated artery", penetrates the liver parenchyma unaccompanied by the bile duct, creating extrahepatic and intersegmental collaterals after repeated TACE procedures, which can feed a residual tumour. (springer.com)
  • Surgical resection includes cholecystectomy, en bloc hepatic resection (typically of segments IVb and V), and lymphadenectomy with or without bile duct excision, depending on the location of the tumor. (medscape.com)
  • 1. Peterson IM, Neumann CH. Focal hepatic infarction with bile lake formation. (radiopaedia.org)
  • Bile duct cysts secondary to liver infarcts: report of a case and experimental production by small vessel hepatic artery occlusion. (radiopaedia.org)
  • The common bile duct gives off the cystic duct and becomes the hepatic duct. (medscape.com)
  • It passes in location between different races were also front of or behind the bile duct or the com- noted and compared with data from other mon hepatic duct to reach the neck of the gall studies. (who.int)
  • Variations upper surface of the neck of the gall bladder, in the origin and position of the cystic artery where it divides into superficial and deep from the nearby vessels were noted and the branches [ 6,7 ]. (who.int)
  • Comparative morphology of the hepatic and coronary artery walls. (medscimonit.com)
  • ABSTRACT The anatomy of the cystic artery is very variable, creating potential problems during sur- gery. (who.int)
  • The hepatic artery proper splits off the common hepatic artery. (healthline.com)
  • Annular pancreas coexisting with replaced common hepatic artery which is also a rare anatomical variation has not been reported previously. (hindawi.com)
  • Both annular pancreas and common hepatic artery anomaly are rare. (hindawi.com)
  • The common hepatic artery was absent. (umbalk.org)
  • From left aspect of AA arise three RAs: one main, one additional (from AA), and an accessory renal (from left common iliac artery). (rjme.ro)
  • The hepatic artery, therefore, is a blood vessel that carries oxygenated blood to the liver to maintain this vital organ, literally, and give you the oxygen you need to continue to function correctly. (antonialive.com)
  • In certain cases, the blood sample may be taken from an artery, which is a blood vessel that carries blood from your heart to the rest of your body. (medlineplus.gov)
  • That artery feeds into the hepatic artery, which supplies blood to the liver. (onclive.com)
  • Computed tomography revealed a large retroperitoneal hematoma and a ruptured pseudoaneurysm of the hepatic artery at the site of the catheter tip. (biomedcentral.com)
  • Small HA (21.35%), size discrepancy (12.57%), many hepatic arteries (11.28%), suboptimal quality (31.1%), intimal dissection (20.5%), and urgent redo (5.18%) were the most difficult HARs. (physiciansweekly.com)
  • Statistically significant variations in the origin and position of the cystic artery were found comparing these data with previous studies in Caucasians and Asians. (who.int)
  • Cette étude a mis en évidence les variations au niveau de la naissance de l'artère cystique et de sa localisation par rapport aux voies biliaires chez 106 sujets soudanais et a comparé ces variations entre les sexes et les races. (who.int)
  • Colchicine (anti-gout medicine) - patients with renal or hepatic impairment. (who.int)