Demonstration of Collateral Arterial Flow after Interruption of Hepatic Arteries in Man

Abstract
After delineating hepatic arterial flow in 20 patients, we dispute the concept that hepatic arteries are end arteries. Selective arteriography shows retrohepatic arterial flow 10 hours after interruption of hepatic arteries. When either the right or the left hepatic artery is interrupted adjacent to the liver, intrahepatic translobar vessels establish flow in the ligated system. Such intrahepatic vessels between the right and left rami cannot be portrayed by cadaver liver perfusions, nor are they apparent on arteriograms of normal subjects.