Ultraselective conventional transarterial chemoembolization: When and how?
Clinical and Molecular Hepatology
;
: 344-353, 2019.
Article
in English
| WPRIM
| ID: wpr-785656
ABSTRACT
Ultraselective conventional transarterial chemoembolization (cTACE), defined as cTACE at the most distal portion of the subsubsegmental hepatic artery, is mainly performed for hepatocellular carcinoma (HCC) ≤5 cm. Distal advancement of a microcatheter enables injection of a larger volume of iodized oil into the portal vein in the limited area under non-physiological hemodynamics. As a result, the reversed portal flow into the tumor through the drainage route of the tumor that occurs when the hepatic artery is embolized is temporarily blocked. By adding gelatin sponge slurry embolization, both the hepatic artery and portal vein are embolized and not only complete necrosis of can be achieved. Ultraselective cTACE can cure small HCCs including less hypervascular tumor portions and replace surgical resection and radiofrequency ablation in selected patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Porifera
/
Portal Vein
/
Drainage
/
Chemoembolization, Therapeutic
/
Catheter Ablation
/
Iodized Oil
/
Carcinoma, Hepatocellular
/
Gelatin
/
Gelatin Sponge, Absorbable
/
Hemodynamics
Limits:
Humans
Language:
English
Journal:
Clinical and Molecular Hepatology
Year:
2019
Type:
Article
Similar
MEDLINE
...
LILACS
LIS