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Cost of Portal Vein Embolization (PVE) Worldwide

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Portal vein embolization (PVE) is done to increase the size and function of the healthy part of the liver (future liver remnant) before major liver surgery. It is an important preoperative technique for minimising postoperative liver failure.This process guarantees that, following resection, the remaining liver can fulfil the body's metabolic needs.

You should see a specialist if you have a liver tumour that needs to be surgically removed, if a big liver resection is planned but the remaining liver volume is likely to be minimal, or if you have a liver mass with abnormal liver function tests. If you experience symptoms like chronic right upper abdomen pain, jaundice, unexplained weight loss, exhaustion, or appetite loss, you should also seek medical assistance.

PVE preparation consists of contrast CT/MRI with liver volumetry, and blood tests (CBC, LFT, RFT, PT/INR, hepatitis markers, patients may need to grant permission for contrast and interventional radiology procedures, stop taking blood thinners or antiplatelets, and fast for six to eight hours.

Portal Vein Embolization is performed in an interventional radiology suite:
  • Both sedation and/or local anaesthesia are administered.
  • A little skin incision is done to gain access to the portal vein system.
  • Under imaging, a catheter is inserted into the branches that supply the area of the liver that needs to be removed.
  • These portal vein branches are blocked by injecting embolic materials.
  • Blood flow is diverted to the future liver remnant, which is the surviving liver.
  • The puncture site is sealed when the catheter is removed.
  • The patient's liver function, discomfort, and vital signs are tracked.

Depending on the anatomy and complexity of the liver, the treatment usually takes 60 to 120 minutes.Following the procedure, monitoring is done to make sure vital signs are stable and there are no problems right away.

PVE is generally safe but few possible complications may be arise:
  • Fever or pain following embolisation
  • Haematoma or bleeding at the puncture location
  • An infection
  • Contrast kidney strain or allergy (rare)
  • Portal vein thrombosis: an uncommon but dangerous condition
  • Malfunction of the liver, particularly in cirrhosis
  • Rare non-target embolisation
  • Nausea, fatigue and temporary loss of appetite

PVE has several benefits: increasing the amount of liver left over after surgery, reducing the risk of liver failure after hepatectomy, and raising the possibility that a major liver resection is safe are only a few advantages of PVE. It improves cancer patients' long-term surgery outcomes and is relatively less invasive than surgical alternatives.

After PVE, recovery typically happens quickly, with a hospital stay of one to three days and a few days of minor fever and gastrointestinal pain. Before undergoing final surgery, the majority of patients resume their regular activities in 5–10 days, and follow-up imaging in 2–6 weeks evaluates liver growth. Initially, heavy activity should be avoided and continuous monitoring should be maintained.

Effective liver enlargement can be achieved by portal vein embolisation; 70–90% of patients exhibit liver growth, and the majority of eligible patients develop sufficient hypertrophy to undergo scheduled liver surgery. The type and development rate of the tumour, the patient's functional and nutritional state, and liver health (healthy vs. cirrhotic) all influence overall success.

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Explore Hospitals ( 108 )
Portal Vein Embolization (PVE) in Biruni University Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

Biruni University Hospital started to serve in 2016. It is a full-fledged multi-specialty healthcare facility, situated in Istanbul, Turkey. The hospital is well-known for its outstanding medical care standards, and it has acquired numerous certificates from international quality organizations. It is a renowned & well-established healthcare facility that provides cutting-edge diagnostic and treatment approaches. They have a team of highly skilled doctors and surgeons on call 24 hours a day, seven days a week to deliver the best medical care possible.

The hospital has various medical departments such as Cardiology, Neurology, Urology, Rheumatology, Pediatrics, General Medicine and Surgery, Gastroenterology, etc. Popular treatments conducted at the hospital are Pediatric Neurology, Cardiac Stenting, Balloon Angioplasty, Bypass surgery, plastic surgery procedures like Hair transplant, & Botox injections, and many more.  The hospital is known for its most valuable service i.e. service to human health. Hospital management & professionals define their service concept with the significance attached to the belief. The management is concerned with both medical statistics and, above all, the satisfaction of the patients. Patients from other countries are well looked after. The hospital offers international patients a relaxing and secure environment in terms of psychology, comfort, and health.

The hospital's primary purpose is to provide world-class patient-centered health care through our highly responsible team who can produce information and use it appropriately. With its university-based scientific infrastructure and competent health care, the hospital's management has long-term plans for it, with a desire to be an innovative and leading health institution that is regarded as a reference in the country and around the world. Several value-added services and quality policies are available at the facility. To mention a few, the hospital is open to development and technology, continuously measuring and improving, training qualified health professionals, caring about patient and employee satisfaction, and becoming mobilized to bring an environment of reliable diagnosis, treatment, and care to the majority of the society.

Portal Vein Embolization (PVE) in Apollo Hospitals Bannerghatta: Costs, Top Doctors, and Reviews

Bangalore, India

  • Joint Commission International, or JCI

Apollo Hospitals Bannerghatta located in Bengaluru, India is accredited by JCI, NABH. Also listed below are some of the most prominent infrastructural details:

  • Bed Capacity is 250
  • Largest and most sophisticated sleep laboratory in the world
  • Technological powerhouse with latest equipments
  • 120 slice CT angiogram
  • 3 Tesla MRI
  • Low energy & High energy Linear Accelerators
  • Navigation System in surgical procedures
  • 4-D Ultrasound for 4 dimensional sonography
  • Digital Fluoroscopy
  • Gamma Camera
  • Stereotactic Robotic Radio- surgery
  • Autologous Bone Marrow Transplantation
  • Robotic assisted surgeries
  • Thallium Laser-First in India
  • Holmium Laser-First in South India
  • Digital X-Ray-First in Karnataka
  • 100 plus consultants
  • Uses Y shaped stent for tracheoesophageal fistula
  • Four autologous chondrocyte implantations procedure is performed and several more like Spinal angiolipoma excision, Tibial tuberosity shift with MPSL reconstruction
  • Biggest series of airway stents in India
  • The Minimal Access Surgery Centre (MASC) centre of excellence
Portal Vein Embolization (PVE) in Aakash Healthcare Super Speciality Hospital: Costs, Top Doctors, and Reviews

Delhi, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • ISO 9001

Aakash Healthcare Super Speciality Hospital located in New Delhi, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • One of the biggest tertiary care hospitals in India
  • Facility is fusion of state of the art technology, competent clinicians, and world-class infrastructure
  • 230 beds
  • 70 bedded medical and surgical and Critical Care Unit
  • Ward Bed Options- Twin, Deluxe, Sharing and Economy
  • Pneumatic Tube System
  • Ambulance Services 24x7
  • 15 Bedded dialysis unit
  • Advanced Neonatal ICU
  • Advanced imaging services, including magnetic resonance imaging, computed tomography scanning, digital mammography, ultrasound
  • 8 modular OTs
  • Flat Panel Cath Labs
  • LASIK - SMILE Suite
  • Wellness Lounge
  • State-of-the-art diagnostic equipment
  • 15 Dialysis beds
  • 24x7 ‘Trauma & Emergency Center
  • Dedicated blood bank
  • 24x7 comprehensive patient care.
  • Deployed high-end technologies & smart digital system
  • Robust Hospital Information Systems to meet complex medical needs of patients
  • Robotic assisted surgeries
  • International Patients Lounge
  • Airport Pick-up and Drop
  • Accommodation and Food for Attendant
  • Language Interpreter Services
  • 4 triage beds, a dedicated sample collection room, 6 observation beds, and highly skilled emergency staff
  • Robotic knee replacement surgery
  • ATM
  • Lounge for visitors
  • Internet Access: The whole facility is Wi-Fi enabled
  • Travel Desk: Provides an all-round patient care.
  • 24x7 pharmacy
Portal Vein Embolization (PVE) in Aster Medcity: Costs, Top Doctors, and Reviews

Kochi, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • Joint Commission International, or JCI
  • 670 bed facility
  • 24 hours Emergency and Trauma Care

Aster Centres of Excellence

    • Cardiac Sciences
    • Orthopaedics & Rheumatology
    • Neurosciences
    • Nephrology & Urology
    • Oncology
    • Gastroenterology
    • Integrated Liver Care
    • Womens Health
    • Child & Adolescent Health
    • Multi Organ Transplant
  • Diagnostic Technology used for increasing the efficiency of diagnostic procedures.
  • Streamlined Application of Therapeutic Technology
  • Minimal Access Robotic Surgery (MARS) which makes use of the da Vinci Surgical System is applied by the specialists in Aster Medcity, Kochi, Kerala.
  • ORI Fusion Digital Integrated Operation Theatres which applies Karlstorz OR1 Fusion system.
  • Completely digital Anesthesia facility
  • Pharmacy which possesses completely Automated Drug Dispensing
Portal Vein Embolization (PVE) in Pushpawati Singhania Research Institute: Costs, Top Doctors, and Reviews

Delhi, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

Pushpawati Singhania Research Institute located in New Delhi, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:

  • Multi-bed hospital with state-of-art infrastructure
  • Advanced medical equipment
  • High-tech labs
  • Modular operation theaters
  • Cath labs with Clarity Platform, 128 channel CARTO 3 version 4 with ICE mapping facility, FD 10 Prucka 2D EP system
  • High-end Intensive Coronary Care Unit
  • Dedicated Pre-Post Cath Unit
  • Multislice CT Scan, 1.5 Tesla MRI
  • 24 *7*365 functional cardiac Cath lab & operation theatre
  • Fifteen bedded Coronary Care Unit
  • 3D, 4D Echo & Trans-oesophageal Echo, Non Invasive cardiology (Holter, TMT, Echo, 24hrs ambulatory BP Monitoring
  • Radio Frequency Ablation like Complex Arrhythmia such as ischemic VT, AF with 3 D Mapping imaging
  • RFA using ICE Intra-cardiac Echo
  • Well-equipped inpatient and intensive care services
  • Ultra-modern Blood Bank Facility
  • Advanced Physiotherapy center, 24/7 Emergency &Trauma services
  • Gastroenterology department equipped with Capsule endoscopy, Endoscopic retrograde cholangiopancreatography, Single balloon enteroscopy, High resolution esophageal and anorectal manometry, Endoscopic ultrasound, and hydrogen breath test
    Sustained low-efficiency daily dialysis and Continuous Renal Replacement Therapy
  • Exhaled Nitric oxide (FeNO) and allergy testing for the management of asthma
  • Conventional PAP/ Liquid PAP/ HPV-DNA test for the patients with the High risk of cervical cancer
Portal Vein Embolization (PVE) in Medicana Camlica Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

4.2 ( 2 Reviews )
  • ISO 9001
  • Joint Commission International, or JCI

Medicana Camlica Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • 150 bedded Hospital
  • Specialty-based clinics
  • Fully-equipped patient rooms
Portal Vein Embolization (PVE) in Memorial Sisli Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Memorial Sisli Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Operates in a closed area of 53,000 sqm
  • Capacity of 252 beds
  • 13 Operating rooms
  • 4 Intensive Care Units (KVC, General, Coronary, Neonatal)
  • 3 Laboratories
  • Organ Transplantation Center
  • IVF Center
  • Genetic Center
  • Stroke Center
  • Breast Health and Disease Center
  • Oncology Center
  • Da Vinci Robotic Surgery Center
  • Bone Marrow Transplantation Center
Portal Vein Embolization (PVE) in Hisar Intercontinental Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

Architecture of the Hospital designed as per the comfort of patients-

  • Consisting of 8 floors, 212 bed capacity
  • 75m2 suite rooms
  • 35 thousand m2 closed area
  • 7 operating rooms
  • 53 polyclinics
  • 54 Departments
  • Hotel-like patient rooms
  • Intensive care units consisting of 33 beds
  • Hyperbaric Oxygen Center inside the hospital
  • PYXIS computerized medicine system working with fingerprint
  • Social waiting areas
  • Indoor and Outdoor Cafeterias & Restaurants
Portal Vein Embolization (PVE) in NMC Specialty Hospital: Costs, Top Doctors, and Reviews

Abu Dhabi, United Arab Emirates

  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

NMC Specialty Hospital located in Abu Dhabi, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • 104 Patient Rooms/Wards
  • 7 Operating Rooms
  • Laboratory endowed with centrally computerized System
  • 24-hour Emergency Department
  • 24-hour Pharmacy
  • 24-hour Ambulance Services
  • Radiology Department offering state-of-the-art equipment, including MRI (1.5 Tesla), 64-slice spiral CT Scanner, 4-D Ultrasound with color Doppler, Bone Densitometry, Digital Mammogram with CAD System, and Digital X-Ray Systems with fully integrated PACS
Portal Vein Embolization (PVE) in NMC Specialty Hospital, Al Nahda: Costs, Top Doctors, and Reviews

Dubai, United Arab Emirates

4.7 ( 2 Reviews )
  • Joint Commission International, or JCI

NMC Specialty Hospital, Al Nahda located in Dubai, United Arab Emirates is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • 72 Patient Rooms
  • 10 ICU Beds
  • 10 NICU Beds
  • 4 Operation Theatres
  • Well-equipped Laboratory
  • Radiology Department
  • Smaller Medical Centers and Clinics in Dubai
  • Advanced Technology used by the Hospital- a patient friendly closed MRI (1.5 tesla), 64 Slice - Dual Source Siemens Definition MDCT CT scanner, 4-D Ultrasound with Color Doppler, Digital Fluoroscopy, Mammogram, and Digital X - Ray systems backed by a fully integrated PACS system
  • 24-hour In-house Pharmacy
  • 24-hour Ambulance services

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Process Involved for Portal Vein Embolization (PVE)

  • Assessment of liver volume and case selection
  • Anaesthesia assessment and pre-procedure research
  • Interventional radiologist's PVE procedure
  • Monitoring following the surgery and managing discomfort and fever
  • CT/MRI follow-up to assess hypertrophy
  • Surgery to remove the liver after sufficient enlargement
  • Hepatocellular cancer (HCC)
  • Cancer of the cholangi
  • Liver metastases from colorectal cancer
  • Hepatectomy is necessary for large liver tumours.
  • Some complicated benign tumours of the liver

There are various methods for carrying out PVE:

  • Transhepatic portal vein embolisation via percutaneous means (most common)
  • Trans-ileocolic PVE (infrequent, surgical entry)
  • Depending on the architecture and resection plan, segmental or selective PVE

PVE may be appropriate for a patient if:

  • There will be a major liver resection.
  • There is not enough future liver residual volume.
  • Embolisation is acceptable for liver function.
  • There is no serious coagulopathy or unchecked infection.
  • Liver biopsy (in the event that the diagnosis is uncertain)
  • Biliary drainage through the skin (if obstructive jaundice)
  • In certain cancer instances, transarterial chemoembolization (TACE)
  • Surgery to remove a significant portion of the liver (following PVE)
  • Safer results from liver surgery
  • Keeps the liver from failing following excision
  • Faster recuperation with less invasiveness
  • Can increase the number of surgical choices available to patients who were previously "not fit for resection."

After a successful PVE:

  • The liver remnant grows in the future.
  • In the remaining parts, liver function improves.
  • A large hepatectomy becomes a safer option for the patient.
  • The overall risk of surgery is greatly decreased.
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  • Choose your preferred option: Choose the treatment option that suits you the best.

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Frequently Asked Questions

Due to the time it takes for the liver to expand, complete preparation for liver surgery may take two to six weeks, while initial recuperation takes five to ten days.

In addition to the procedure cost, patients may incur:
  • Pre-treatment tests
  • Medications during recovery
  • Follow-up consultations
  • Depending on the patient's condition and monitoring requirements, a hospital stay often lasts one to three days.

    Long-term care includes :
  • Observing tests for liver function
  • Imaging follow-up to evaluate liver hypertrophy
  • Planning a cancer therapy (if necessary)
  • Getting ready for a final liver procedure
  • Patients choose All because:
  • Knowledgeable experts in interventional radiology and liver
  • Treatment guided by advanced imaging
  • Reasonably priced, excellent care
  • Reduced wait times and coordinated global patient services
  • In addition to chest X-rays and ECGs, common diagnostics include contrast CT/MRI liver with volumetry, blood tests such LFT, RFT, CBC, PT/INR, and coagulation profile, and, in some cases, viral hepatitis screening.

    Yes. PVE is usually safe and well tolerated when performed at a hospital that has been accredited and has a skilled interventional radiology team.

    For the majority of eligible patients, major liver surgery is possible due to the >95% technical success rate and the 70–90% liver hypertrophy success rate.

    Author

    Alvina Hasan

    M.Pharm

    1 Year of Experience

    Alvina Hasan is a dedicated medical researcher and scientific writer with a strong foundation in the pharmaceutical sciences. She holds a B.Pharm from Jamia Hamdard University and an M.Pharm in Quality Assurance from DIPSAR University. With deep medical expertise and a strong interest in healthcare communication, she focuses on transforming complex clinical and scientific information into clear, engaging, and easy-to-understand narratives. She develops insightful healthcare articles and research-driven pieces designed to support both medical professionals and patients, helping bridge the gap between advanced medical knowledge and practical understanding. . View More