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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 Max Super Speciality Hospital, Saket: Costs, Top Doctors, and Reviews

Delhi, India

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

Max Smart Super Speciality Hospital, Saket, is a 250-bed tertiary care hospital awarded NABH accreditation, which provides advanced medical care in various specialities such as Cardiac Sciences, Orthopaedics, Neurology, Urology, Kidney Transplant, Paediatrics, and Obstetrics & Gynaecology. The hospital provides quality, safe, integrated, and patient-centric medical care using modular OTs, ICUs, Cath Labs, CT, MRI and Dialysis units.

Portal Vein Embolization (PVE) in Manipal Hospital, Hebbal: Costs, Top Doctors, and Reviews

Bangalore, India

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

Manipal Hospitals, a group of Manipal Education Medical Group, is India’s leading multi-speciality network, comprising over 650 beds. Dedicated to clinical excellence, patient-centric care and ethical practices, it provides sophisticated diagnostics, surgery and home care services to both domestic and international patients, while also improving access to affordable healthcare for underprivileged communities.

Portal Vein Embolization (PVE) in Sheba Medical Center: Costs, Top Doctors, and Reviews

Ramat Gan, Israel

  • Joint Commission International, or JCI

Sheba Medical Center located in Tel-Hashomer, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Sheba Medical Center has a 1900 bed capacity.
  • It also consists of as many as 120 departments and clinics.
  • Sheba treats a large number of national and international patients from many Asian and European countries among others.
  • International patient care services in Sheba are very strong, this also includes the travel, stay, transfer related coordination with translator services.
  • The healthcare personnel working in Sheba Medical Center are fluent in English, documents are also available in this common denominator language.
  • Rehabilitation services are available for long term recovery and return back to a normal life and activity. This could include conditions related to Orthopedics, Neurology, psychiatry, old age and injuries etc.
Portal Vein Embolization (PVE) in Acibadem Altunizade Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI
  • ISO 9001

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

  • The indoor area of Acibadem Hastanesi - Altunizade, Istanbul, Turkey is one of the largest at 98,000 square meters.
  • There are 550 beds and as many parking spots.
  • 75 of the beds are in the intensive care unit.
  • A hybrid operating room which has 3 diagnostic units at one location which is an amazing concept as at one time surgeries can be performed in 3 operating theatres.
  • International patients are serviced well through a particular center for them where services related to therapy and diagnostics are done.
  • Healthcare delivery in this part of the hospital can be availed in 16 different languages.
  • Robotic Surgery and Cell Therapy Unit are representative of the high standards of technology present in the hospital.
Portal Vein Embolization (PVE) in VPS Rockland Hospital: Costs, Top Doctors, and Reviews

Gurgaon, India

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

VPS Rockland Hospital located in Gurugram, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:

  • Well-designed compact 103-bed hospital expanding over120,000 square feet
  • Well equipped modular operation theatres, intensive care unit, interventional Cath lab, and in-patient rooms ranging from economy to luxury
  • Offers a bouquet of services like Internal Medicine, Obstetrics & Gynaecology, Surgery, Pediatrics
  • High-end diagnostic services like 1.5 T MRI and 128 slice CT Scan
  • Advanced non-invasive assessment with echo & TMT machines
  • State of the art cardiac Cath-Lab
  • Appointment Scheduling
  • Treatment packages
  • Accommodation arrangement for the accompanying attendant
  • Customized diet for patient and attendant
  • Laundry services
  • Prayer room
  • Visa assistance
  • Pick and drop facility from/to the Airport
  • Foreign exchange facility
  • Registration with the Foreigners Regional Registration Office
  • Dedicated Neuro-Intensive care unit managed by expert intensivists
  • Accommodation arrangements post discharge
  • Highly advanced instruments for deep brain stimulation, stereotaxy, micro-neurosurgery, pediatric neurosurgery & neurophysiology
  • Most advanced dialysis machines and advanced diagnostic and therapeutic facilities
  • Renal replacement therapy for hemo-dynamically unstable patient
  • Technologically advanced endoscopy suite
  • Wi-Fi/internet service in the room
  • Travel arrangement for patient & attendant post discharge
  • Tele-consults post discharge
  • 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
Portal Vein Embolization (PVE) in Acibadem University Hospital Atakent: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

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

  • Spread over an area of 60,000 square meters
  • It has 300 wards with 8 operating rooms
  • It has an inpatient treatment capacity of 278
  • Intensive care unit bed capacity is of 29 beds
  • The healthcare organisation has several kinds of infrastructure for services such as free parking, cafeteria, Wi-Fi, hairdressing salon, ATM, ergonomic hospital beds, and prayer rooms.
  • The hospital has both standard single rooms and double rooms (24 in number) for the patients.
  • The hospital wards are also equipped with metal handrails, emergency cords, and call buttons for patients with mobility issues.
  • The latest medical technology is present here to treat patients such as MR-LINAC linear accelerator, The da Vinci robot, and TrueBeam Linear Accelerator.
  • The diagnostic department of the hospital has the following equipments:
  • MRI 3 Tesla
  • Full-body MRI
  • Spect CT
  • Flash-CT
  • Ductoscopy (early diagnosis of breast duct cancer)
  • DSA digital angiography
  • Endoultrasonography (EUS)
  • Ultrasonic echography
Portal Vein Embolization (PVE) in Iranian Hospital: Costs, Top Doctors, and Reviews

Dubai, United Arab Emirates

Design structure of any hospital is very important. It shows the level of concern that a Hospital is considering for its patients’ comfort.

As a whole, Iranian Hospital is equipped with 187 premium beds, 35 speciality clinics, 10 ICU Beds, 12 Neonatal ICU beds, 9 CCU beds, 8 Operation Theatres and 24 Paediatric beds.

The Hospital has medical & comfort facilities for both the segments:

  • Inpatients
  • Outpatients

Inpatient Services:

  • 24*7 Emergency Services- consist of 18 general beds, 3 VIP Acute care and 1 Isolation room
  • ICU: 19 beds plus one VIP suite room
  • CCU: 8 beds plus one VIP suite room
  • Internal Medicine ward with 2 VIP Patient suite rooms and 26 beds
  • For health tourists, Global Healthcare Department is present with VIP ward with 10 VIP Suite rooms
  • Surgical wards on gender basis (Men or Women)- 21 beds each + 1 VIP suite room
  • Surgery ward for Day care- 6 beds + 2 private suite rooms
  • 8 Operating rooms fully equipped with modern equipment for laparoscopic surgery
  • Fully equipped Cath-lab with 4 beds recovery unit _ immediate access to operating room for cardiac surgery
  • 38 beds + 1 VIP Suite room for Gynecology and obstetrics
  • 6 labor and 3 delivery beds in labour ward + 1 Emergency room for obstetrics OR
  • 12 beds in Neonatal ICU (NICU)
  • 24 beds + 2 VIP suite rooms in Paediatric ward
  • An Intensive Care Unit with 4 beds and 1 isolation unit for Paediatrics

Outpatients Sevices: Speciality clinics such as General Physician clinics, surgical clinic, Cosmetic & Aesthetic clinic, Ophthalmology clinic, Dentistry, Paediatrics clinic, etc. When it comes to accommodation, people get very conscious while choosing the Hospital. Iranian Hospital is the best at it as Hospital rooms are like luxury apartments equipped with all the amenities required by patients and their families. Services available at the Hospital during stay:

  • Private & shared rooms
  • Nurse call system by the bed
  • Specialized menus for specialized diets are prepared and screened individually by experienced dieticians. Guest trays are available as per request
  • Cleaning & Repairing of rooms to maintain cleanliness & hygiene
  • Each hospital bed has its own telephone extensions

Portal Vein Embolization (PVE) in Istinye University Bahcesehir - LIV Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI
  • ISO 9001

Apart from in-detail treatment procedures available, Istinye University Bahcesehir - LIV Hospital located in Istanbul, Turkey has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • A 21-storey Hospital covers 62,500 sqm with ability to handle any emergency situation
  • Equipped with 300+ beds, 10 palliative care beds and 12 operating rooms
  • 30 Observation Rooms, which are convertible to Intensive Care Rooms in the need hour
  • Emergency Department with Emergency specialists
  • 64 Specialities Professional Centers like Organ Transplantation Center, Vascular Health Center, Spine Health Center, Check-up Center, etc.
  • IVF center
  • Pain Clinic
  • Stroke Center/Unit
  • Pediatric Intensive Care Unit
  • International Guest Department
  • In an emergency transfer of patients via air, the hospital also has an air ambulance facility
Portal Vein Embolization (PVE) in Medical Park Goztepe Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

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

  • Capacity of 293 beds
  • 9 Operating theatres
  • 64 intensive care beds
  • Emergency Department
  • Chemotherapy Unit
  • Well-equipped rooms, designed to maximize exposure to day light and service approach is based on boutique hotel business
  • Cafeteria/Restaurant
  • Technology Advancement- 64-slice Computerized Tomography, high level Magnetic Resonance Imaging (MRI) scanner, Tomography scanner, Digital Mammography, Digital X-ray scanner, Ultrasound and Color Doppler, Digital and Peripheral Angiography and 4D Ultrasound device
Portal Vein Embolization (PVE) in Hospital Ruber International: Costs, Top Doctors, and Reviews

Madrid, Spain

  • ISO 9001

The Hospital has a wide architectural structure that consists of-

  • 90+ consultation rooms
  • 108+ private rooms
  • 15 suites and 3 royal suites
  • 10+ operation theatres
  • Neuro-Rehabilitation unit
  • Popular Specialties- Epilepsy, Neuropsychology, Neuro-Ophthalmology, Neuro-Oncology, Clinical Neurology, Memory Disorders, Movement Disorders, Neuro-rehabilitation

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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