Figure 5.

A 66-year-old woman with metastatic breast cancer, planned for right hepatectomy and referred for pre-operative portal vein embolization (PVE) due to small projected future liver remnant (FLR). Patient underwent prior PVE embolization with inadequate hypertrophy of the FLR, so embolization of the hepatic vein was undertaken. Angiogram (A) and DSA (B) showing the pre-embolization appearance of the right hepatic vein (arrow). (C) After embolization with multiple Amplatzer plugs, flow within the right hepatic vein is occluded (arrow).