When might PVE be indicated in patients with cirrhosis?
- PVE is considered in patients with well-compensated cirrhosis (i.e., Child-Pugh [CP] class A), who are surgical resection candidates, and who have an sFLR of less than 40%.
- Patients with cirrhosis often demonstrate attenuated rates and degrees of hypertrophy, so it is not uncommon that PVE might be performed in combination with other techniques such as TACE.
- TACE is performed prior to PVE and may prevent disease progression that could result in the patient no longer being eligible for resection.
