{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,15]],"date-time":"2025-11-15T05:05:02Z","timestamp":1763183102517},"reference-count":14,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2013,2,7]],"date-time":"2013-02-07T00:00:00Z","timestamp":1360195200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Hepatology Research"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Main bile duct necrosis develops after transcatheter arterial chemoembolization (<jats:styled-content style=\"fixed-case\">TACE<\/jats:styled-content>) through the caudate artery (<jats:styled-content style=\"fixed-case\">A1<\/jats:styled-content>) and medial subsegmental artery (<jats:styled-content style=\"fixed-case\">A4<\/jats:styled-content>) of the hepatic artery in the treatment of hepatocellular carcinoma. The aim of this study was to evaluate the bile duct branch (<jats:styled-content style=\"fixed-case\">BD<\/jats:styled-content> branch) from <jats:styled-content style=\"fixed-case\">A1<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">A4<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We evaluated the origin and vascular territory of the <jats:styled-content style=\"fixed-case\">BD<\/jats:styled-content> branch in 11 patients who underwent selective <jats:styled-content style=\"fixed-case\">A1<\/jats:styled-content> and\/or <jats:styled-content style=\"fixed-case\">A4<\/jats:styled-content> arteriography using arteriograms, cone\u2010beam computed tomography (<jats:styled-content style=\"fixed-case\">CBCT<\/jats:styled-content>) and <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> obtained 1 week after <jats:styled-content style=\"fixed-case\">TACE<\/jats:styled-content>. Follow\u2010up <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> and\/or magnetic resonance imaging were also evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">BD<\/jats:styled-content> branch arose from the first branch (<jats:italic>n<\/jats:italic>\u2009=\u20094), the second branch (<jats:italic>n<\/jats:italic>\u2009=\u20091), and both the first and second branches (<jats:italic>n<\/jats:italic>\u2009=\u20091) of <jats:styled-content style=\"fixed-case\">A1<\/jats:styled-content>, and from the first branch of <jats:styled-content style=\"fixed-case\">A4<\/jats:styled-content> (<jats:italic>n<\/jats:italic>\u2009=\u20095). It supplied the bilateral hepatic ducts and common hepatic duct (<jats:styled-content style=\"fixed-case\">CHD<\/jats:styled-content>) (<jats:italic>n<\/jats:italic>\u2009=\u20094), the right hepatic duct (<jats:styled-content style=\"fixed-case\">RHD<\/jats:styled-content>) and <jats:styled-content style=\"fixed-case\">CHD<\/jats:styled-content> (<jats:italic>n<\/jats:italic>\u2009=\u20092), <jats:styled-content style=\"fixed-case\">RHD<\/jats:styled-content>, <jats:styled-content style=\"fixed-case\">CHD<\/jats:styled-content> and common bile duct (<jats:italic>n<\/jats:italic>\u2009=\u20091), the left hepatic duct (<jats:styled-content style=\"fixed-case\">LHD<\/jats:styled-content>) and <jats:styled-content style=\"fixed-case\">CHD<\/jats:styled-content> (<jats:italic>n<\/jats:italic>\u2009=\u20092), and <jats:styled-content style=\"fixed-case\">LHD<\/jats:styled-content> alone (<jats:italic>n<\/jats:italic>\u2009=\u20092). Anastomosis between <jats:styled-content style=\"fixed-case\">A1<\/jats:styled-content> or <jats:styled-content style=\"fixed-case\">A4<\/jats:styled-content> and other branches was demonstrated in seven patients. Bile duct stricture developed in all nine patients 2\u20138 months after <jats:styled-content style=\"fixed-case\">TACE<\/jats:styled-content> of the <jats:styled-content style=\"fixed-case\">BD<\/jats:styled-content> branch and percutaneous transhepatic bile duct drainage and metallic stent placement was required in one because of jaundice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">BD<\/jats:styled-content> branch arises from the proximal portion of <jats:styled-content style=\"fixed-case\">A1<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">A4<\/jats:styled-content> and mainly supplies the hepatic ducts and <jats:styled-content style=\"fixed-case\">CHD<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hepr.12071","type":"journal-article","created":{"date-parts":[[2013,1,14]],"date-time":"2013-01-14T17:53:36Z","timestamp":1358186016000},"page":"1175-1181","source":"Crossref","is-referenced-by-count":19,"title":["Blood supply of the main bile duct from the caudate artery and medial subsegmental artery of the hepatic artery: Evaluation using images obtained during transcatheter arterial chemoembolization for hepatocellular carcinoma"],"prefix":"10.1111","volume":"43","author":[{"given":"Shiro","family":"Miyayama","sequence":"first","affiliation":[{"name":"Department of Diagnostic Radiology Fukuiken Saiseikai Hospital  Fukui Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masashi","family":"Yamashiro","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology Fukuiken Saiseikai Hospital  Fukui Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Hashimoto","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology Fukuiken Saiseikai Hospital  Fukui Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nanako","family":"Hashimoto","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology Fukuiken Saiseikai Hospital  Fukui Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaya","family":"Ikuno","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology Fukuiken Saiseikai Hospital  Fukui Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenichiro","family":"Okumura","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology Fukuiken Saiseikai Hospital  Fukui Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miki","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology Fukuiken Saiseikai Hospital  Fukui Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osamu","family":"Matsui","sequence":"additional","affiliation":[{"name":"Department of Radiology Kanazawa University Graduate School of Medical Science  Kanazawa 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