肝癌TACE中的肝动脉变异及肝外侧枝供血重点.pptVIP

肝癌TACE中的肝动脉解剖变异及肝外侧枝供血;前言;;肝动脉的解剖变异及血流动力学特点;The same patient， the replaced RHA from the SMA;;A replaced RHA arise from the SMA;A replaced or accessory RHA arise from celiacomesenteric trunk;A RHA arise from abdominal aorta;A accessory RHA arise from SMA;A replaced common hepatic artery arise from hepaticomesenteric trunk;Common hepatic artery arise from abdominal aorta;;;常见供应肝癌的肝外侧支动脉;供应肝癌的肝外侧支动脉;Their locations are shown schematically in Figure.;;膈下动脉;;;The right inferior phrenic arteries originate from the celiac trunk;The left inferior phrenic arteries originate from the aorta;;The left inferior phrenic arteries originate from the proper hepatic artery and the right inferior phrenic arteries originate from the celiac trunk;内乳动脉;;;肋间动脉和腰动脉;Intercostal artery supply blood to HCC;Lumbar artery supply blood to HCC;大网膜分支动脉;; 网膜分支动脉通常是由胃网膜动脉以锐角发出的小分支动脉。一些大网膜分支动脉存在于健康人中，但是它们很难在血管造影中分辨出。然而，当大网膜分支动脉供应肝癌时，在腹腔血管造影时变得足够扩张而易于分辨。因此，仔细审查的腹腔造影对检测供应肝癌的大网膜分支动脉是第一步。在肝破裂的肝癌患者中，可以通过大网膜分支动脉行TACE止血。;;;;肾上腺动脉;;;肾动脉及肾包膜动脉; Renal Capsular Arteries;;肠系膜上动脉;A branch of the superior mesenteric artery suplies blood to tumor;胃动脉;; 谢谢！