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. 2018 May 2;7(5):101. doi: 10.3390/jcm7050101

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© 2018 by the authors.

Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).

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This 48 year old female with metastatic colo-rectal cancer was referred for selective internal radiation therapy, using Yittrium-90. The (A) mapping angiogram showed a trifurcation of the common hepatic artery into the GDA (dashed arrow), left hepatic (curved arrow), and right hepatic (straight arrow) arteries. GDA embolization with this anatomic configuration was felt to be necessary in order to reduce the chances of the non-target duodenal embolization. The (B) GDA was successfully cannulated with a microcatheter, and multiple coils were placed successfully, which embolized this vessel. The Yttrium-90 (Y-90) administration was subsequently performed without clinical or radiographic evidence of non-target embolization to the duodenum.

This 48 year old female with metastatic colo-rectal cancer was referred for selective internal radiation therapy, using Yittrium-90. The (A) mapping angiogram showed a trifurcation of the common hepatic artery into the GDA (dashed arrow), left hepatic (curved arrow), and right hepatic (straight arrow) arteries. GDA embolization with this anatomic configuration was felt to be necessary in order to reduce the chances of the non-target duodenal embolization. The (B) GDA was successfully cannulated with a microcatheter, and multiple coils were placed successfully, which embolized this vessel. The Yttrium-90 (Y-90) administration was subsequently performed without clinical or radiographic evidence of non-target embolization to the duodenum.