Kambadakone A, Baliyan V, Kordbacheh H, Uppot RN, Thabet A, Gervais DA, Arellano RS. Imaging guided percutaneous interventions in hepatic dome lesions: Tips and tricks. World J Hepatol 2017; 9(19): 840-849 [PMID: 28740595 DOI: 10.4254/wjh.v9.i19.840]
Corresponding Author of This Article
Avinash Kambadakone, MD, FRCR, Assistant Professor, Harvard Medical School, Abdominal Imaging and Interventional Radiology, Massachusetts General Hospital, White 270, 55 Fruit Street, Boston, MA 02114, United States. akambadakone@mgh.harvard.edu
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Hepatol. Jul 8, 2017; 9(19): 840-849 Published online Jul 8, 2017. doi: 10.4254/wjh.v9.i19.840
Imaging guided percutaneous interventions in hepatic dome lesions: Tips and tricks
Avinash Kambadakone, Vinit Baliyan, Hamed Kordbacheh, Raul N Uppot, Ashraf Thabet, Debra A Gervais, Ronald S Arellano
Avinash 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
Author contributions: All authors contributed equally for concept, literature search and manuscript writing.
Conflict-of-interest statement: Nothing to disclose.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Avinash Kambadakone, MD, FRCR, Assistant Professor, Harvard Medical School, Abdominal Imaging and Interventional Radiology, Massachusetts General Hospital, White 270, 55 Fruit Street, Boston, MA 02114, United States. akambadakone@mgh.harvard.edu
Telephone: +1-617-6432009 Fax: +1-617-7264891
Received: March 3, 2017 Peer-review started: March 5, 2017 First decision: March 28, 2017 Revised: April 6, 2017 Accepted: April 23, 2017 Article in press: April 24, 2017 Published online: July 8, 2017 Processing time: 123 Days and 20.5 Hours
Abstract
Percutaneous hepatic interventions are generally safe given the fact that liver closely abuts the abdominal wall and hence it is easily accessible. However, the superior portion of liver, adjacent to the diaphragm, commonly referred as the “hepatic dome”, presents unique challenges for interventionists. Percutaneous access to the hepatic dome may be restricted by anatomical factors and special considerations may be required to avoid injury to the surrounding organs. The purpose of this review article is to discuss certain specific maneuvers and techniques that can enhance the success and safety of interventions in the hepatic dome.
Core tip: Percutaneous interventions for lesions in the hepatic dome can be technically challenging. This review article discusses various maneuvers and techniques to safely access and treat lesions in this region.
