Polyvinyl Alcohol Embolization Adjuvant to Oily Chemoembolization in Advanced Hepatocellular Carcinoma with Arterioportal Shunts
Korean Journal of Radiology
; : 311-319, 2007.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-211222
Biblioteca responsável:
WPRO
ABSTRACT
OBJECTIVE:
To assess the feasibility and safety of polyvinyl alcohol (PVA) embolization adjuvant to transarterial oily chemoembolization (P-TACE) in advanced hepatocellular carcinoma (HCC) with arterioportal shunts (APS). MATERIALS ANDMETHODS:
Nineteen patients who underwent PVA embolization for APS before a routine chemoembolization (TACE) procedure were retrospectively reviewed. 10 of these 19 patients underwent follow-up TACE or P-TACE after P-TACE (Group A), but nine patients underwent only initial P-TACE because of progression of HCC and/or underlying liver cirrhosis (Group B). Hepatic function tests, APS grades, and portal flow directions were evaluated before and after P-TACE sessions. Complications after procedures and survival days were also evaluated.RESULTS:
In group A, APS grade was improved in eight patients and five of six patients with hepatofugal flow showed restored hepatopetal flow postoperatively. No immediate complication was developed in either group. Transient hepatic insufficiency developed in eight (42.1%) of 19 patients after P-TACE, and seven (87.5%) of these eight recovered within two weeks under conservative care. The mean and median survival time all study subjects was 280 days and 162 days.CONCLUSION:
P-TACE is feasible and safe in advanced HCC patients with APS.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Álcool de Polivinil
/
Estudos de Viabilidade
/
Estudos Retrospectivos
/
Fístula Arteriovenosa
/
Resultado do Tratamento
/
Mitomicina
/
Quimioembolização Terapêutica
/
Óleo Iodado
/
Carcinoma Hepatocelular
/
Meios de Contraste
Tipo de estudo:
Estudo observacional
Limite:
Adulto
/
Idoso
/
Idoso, 80 anos ou mais
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Korean Journal of Radiology
Ano de publicação:
2007
Tipo de documento:
Artigo