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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 Guven Hospital: Costs, Top Doctors, and Reviews

Ankara, Turkey

Started as a small hospital and has become a large general Hospital with-

  • 254 beds
  • 12 Operating rooms
  • Staff of 1600 people including expert physicians, nurses, and auxiliary health personnel
  • Guven Medical Surgical Centre
  • IVF Centre
  • Blood Bank
  • Organ Transplant Centre
  • Fully-equipped centres to perform various types of Surgeries
  • Guven Healthy Living Campus for patients
Portal Vein Embolization (PVE) in Dr. Rela Institute and Medical Centre: Costs, Top Doctors, and Reviews

Chennai, India

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

The mega-structure of RIMC serves as a hospital as well as an educational institute. Hence, it offers a huge array of medical services and facilities to cater to the needs of its patients.

Fertility Services - RIMC specializes in both male and female fertility and in procedures like IntraCytoplasmic Sperm Injection (ICSI), Uterine Transplants, Preimplantation genetics and Laser Assisted Hatching (LAH).

Anaesthesia and ICU - The ICU rooms in RIMC are equipped to serve the individual needs of every patient. They boast the largest liver transplant ICU in India and a specific ICU dedicated to pediatrics multi-organ transplants.

Radiology and Imaging Sciences - RIMC has the infrastructure to support high-quality scans including 128 Slice CT, Cardiac MRI, and 3 Tesla MRIs.

Blood Bank and Transfusion Medicine - RIMC has an active blood bank system with facilities dedicated to Blood Component Separation and Therapy. They use high-end technology like the Automated 1H500 Analyser and have a separate Therapeutic Apheresis Unit.

Advanced Endoscopy - Dr. Rela Institute and Medical Centre has one of the most advanced hospital facilities with an individual healthcare unit specifically dedicated to Endoscopy. Advanced procedures like Spyglass Cholangioscopy, Laser therapy, Endoscopic Ultrasound, Capsule Endoscopy, and special ERCP and EUS Suite.

Some of the other healthcare facilities, departments, and services offered by Dr. Rela Institute and Medical Healthcare are listed below:

  • Orthopaedics
  • Obstetrics and Gynaecology
  • Reproductive Medicine
  • Hepatology
  • Cardiology
  • Internal Medicine and Diabetology
  • Advanced Paediatrics
  • Ear Nose and Throat 
  • Emergency Medicine
  • Interventional Radiology and Imaging Services
  • Neonatology
  • Neurology
  • Liver Disease and Transplantation
  • Gastroenterology
  • Medical Oncology
  • Nephrology
  • Neonatology
  • Pathology
  • Ophthalmology
  • Plastic and Reconstructive Surgery
  • Radiation Oncology
  • Pulmonary Medicine
  • Urology
  • Surgical Oncology
  • Transfusion Medicine

Apart from these facilities, Dr. Rela Institute and Medical Centre also have a preventive health check lounge, 72 consultation suites, and 360 degrees including lab facilities specifically for outpatients. 

Visit Dr. Rela Institute and Medical Centre in Chromepet, Chennai today and find the best care for you and your loved ones.

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

Chennai, India

  • Joint Commission International, or JCI

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

  • Committed Centers of Excellence involving many major specialties, super specialties
  • Assistance in trip planning and execution
  • Insurance related assistance
  • Visa facilitation
  • International patient representatives for complete end to end travel and transfer processing for medical travellers
  • Language translators availability
  • Robust safety and infection protocols
  • Personalised, Visa and Premium Health Checks available
  • Health Library and accessing health records online
  • Wide variety of procedures accomplished including complex and critical procedures
  • Technologically advanced systems and procedures in place
  • Research and academics base of healthcare delivery
Portal Vein Embolization (PVE) in Apollo Multispecialty Hospitals: Costs, Top Doctors, and Reviews

Kolkata, India

  • Joint Commission International, or JCI
  • ISO 9001

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

  • International patient Center
  • Focus on research and innovation
  • Different amenities: Transport, Security, Travel Desk, Places of Worship, Telecommunication Service, Special Nurse, Food & Dietary Services
  • Several kinds of rooms: General ward, Semi Private Rooms, Private Rooms, Deluxe, Super Deluxe, Suite, Maharaja Suite, HDU, Gastro ICU, Emergency, Neonatal ICU, Level 1, Level 2 & Level 3
  • Health Insurance coverage available
  • Here is a comprehensive list of the various kinds of key medical procedures performed through the latest technology.
  • Arthroscopy
  • Bone Marrow Transplant
  • Cosmetic Surgery
  • Da Vinci Robotic Surgical System
  • Fractional Flow Reserve (FFR)
  • Hand Microsurgery
  • Hip Arthroscopy
  • Minimally Invasive Cardiac Surgery
  • Minimally Invasive Subvastus Total Knee Replacement
  • Oral & Maxillofacial Surgery
  • 128 Slice PET CT
  • Bioresorbable Vascular Scaffold (BVS)
  • ECMO
  • OCT Technique - Optical Coherence Tomography
  • Single Port Endoscopic technique of Carpal Tunnel Release (ECTR)
Portal Vein Embolization (PVE) in Manipal Hospital, Yeshwantpur: Costs, Top Doctors, and Reviews

Bangalore, India

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

Manipal Hospital, Yeshwantpur located in Bengaluru, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • Super-specialty healthcare facility
  • Started operations in July 2008
  • Video consultations with specialists
  • Various health checkup packages available
  • Technological applications in healthcare and healthcare delivery
  • Many ancillar services available like
    • ICU, NICU
    • Physiotherapy
    • Referral lab
    • Teleradiology / telemedicine
    • Pharmacy
    • Imaging facilities
  • Rehabilitation services, 24 hour emergency services, operating theatre, ambulatory and daycare, cafeteria, and many kinds of patient accomodation.
Portal Vein Embolization (PVE) in Medicover Hungary: Costs, Top Doctors, and Reviews

Budapest, Hungary

  • ISO 9001

Medicover Hungary located in Budapest, Hungary is accredited by ISO. Also listed below are some of the most prominent infrastructural details:

  • Covers an area of 3000 sqm with Customer Parking lot
  • 3 clinics in Budapest
  • Healthcare Outpatient Facilities for outpatients nationwide
  • Well-equipped Operation Theatres
  • Diagnostic center equipped with the state-of-the-art modern diagnostic tools such as CT, MR, Ultrasound, X-ray equipment
  • Spacious and Comfortable Single rooms are available for patients, equipped with refrigerator, restroom, Television, etc.
Portal Vein Embolization (PVE) in Medipol Mega University Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

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

  • The Hospital includes 4 centers i.e. general surgery, cardiovascular surgery, oncology, and dentistry
  • Medipol patients have access to over 60,000 m2 of the gardens, 26,000 m2 of the five-storied underground parking, 100,000 m2 covered premises and 1,500 members of the stuff
  • Capacity of 470 patient beds
  • Oncology Center
  • Emergency department that can admit up to 134 patients (including general, coronary, KVC and neonatal emergency department)
  • 25 Operating rooms
  • Medipol Mega University Hospital uses the following innovative technologies- Biplane digital flat-panel angiographic system, Digital flat-panel tomosynthetic mammography, Surgical O-ARM PEROP CT Imaging system, etc.
  • Helicopters enabling the transfer of the patient at the most emergency cases
  • The Hospital creates a friendly & comfortable ambience for the patients and their relatives with terrace garden suites, normal rooms. Each room is equipped with multimedia services like TV, DVD, Internet, online access from patients bedside, Unlimited Digital Archive pacs and high-quality meal service
  • Prayer Room
  • 5-starred cafeteria/restaurant
Portal Vein Embolization (PVE) in Zulekha Hospital Sharjah: Costs, Top Doctors, and Reviews

Sharjah, United Arab Emirates

0.5 ( 1 Reviews )
  • ISO 9001
  • Joint Commission International, or JCI

Zulekha Hospital Sharjah located in Sharjah, United Arab Emirates is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:

  • Zulekha Hospital Sharjah is present over a 290,000 square feet area.
  • The hospital stands today with a bed capacity of 185.
  • The hospital also has a Cardiac Catheterization Laboratory and radiology as well as laboratory services.
  • There is an ICU and Neonatal ICUs.
  • There are facilities for Dialysis and advanced technological applications such as Minimal Invasive surgeries.
  • In Zulekha Hospital Sharjah Bariatric procedures, Joint Replacement, Specialised Cancer Care, Cardio Thoracic and Vascular Procedure, Plastic and Reconstructive Procedure are performed.
  • It also specialises in Pediatric Cardiology, Pulmonology and Chest Diseases, etc.
  • Teleconsultation services as well as an international patient care center with related assistance for medical travelers are functioning in Zulekha Sharjah.
Portal Vein Embolization (PVE) in Ruby Hall Clinic: Costs, Top Doctors, and Reviews

Pune, India

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

Ruby Hall Clinic located in Pune, India is accredited by NABH. Also listed below are some of the most prominent infrastructural details:

  • Ruby Hall Clinic brought in Intensive Care and Coronary care units as early as in 1969.
  • It was the pioneer in terms of having achieved the first successful Kidney Transplant and test tube baby in Pune and being the initiator for Cobalt Therapy to ensure Cancer treatment.
  • Imaging advancement is being used in the hospital which is highly advanced known as Positron Emission Tomography.
  • Ruby Hall Clinic is in the possession of two cardiac cath labs and Linear Accelerators.
  • There are as many as 550 in-patient beds which is inclusive of 130 ICU beds.
  • Air Ambulance services are provided by the hospital.
  • There is a multi-organ transplant centre which began operations in the year 1997 and a Neuro Trauma stroke centre.
  • There is also the presence of an independent Stroke Trauma Unit which is fully equipped and enabled with the right units and healthcare personnel.
Portal Vein Embolization (PVE) in Assuta Hospital: Costs, Top Doctors, and Reviews

Tel Aviv, Israel

  • Joint Commission International, or JCI

Assuta Hospital located in Tel-Aviv, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Annual numbers for Assuta Hospital group
    • 92,000 surgeries
    • 683,000 healthcare examinations, ambulatory treatments
    • 440,000 imaging tests
    • 4,000 (approx.) cardiac catheterization diagnosis, treatments
    • 16,000 (approx.) IVF treatments
    • 500 (approx.) kinds of surgical procedures
  • Assuta Hospital, Tel Aviv, is an important healthcare facility which is recognised for being a surgical specialist.
  • Even in the surgical specialty, Assuta Hospital, Tel Aviv performs superlative Minimally Invasive Surgeries.
  • Impressive imaging technology is present in the hospital, such as CT (advanced), PET-CT, MRI and two-head nuclear imaging camera.
  • 15 Operating Theatres
  • 200 plus beds
  • Resuscitation units
  • 2 monitoring laboratories

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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