Ultraselective conventional transarterial chemoembolization: When and how?
Clinical and Molecular Hepatology
; : 344-353, 2019.
Article
em En
| WPRIM
| ID: wpr-785656
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Poríferos
/
Veia Porta
/
Drenagem
/
Quimioembolização Terapêutica
/
Ablação por Cateter
/
Óleo Iodado
/
Carcinoma Hepatocelular
/
Gelatina
/
Esponja de Gelatina Absorvível
/
Hemodinâmica
Limite:
Humans
Idioma:
En
Revista:
Clinical and Molecular Hepatology
Ano de publicação:
2019
Tipo de documento:
Article