Superselective Conventional Transarterial Chemoembolization for Hepatocellular Carcinoma: Rationale, Technique, and Outcome

被引：57

作者：

Miyayama, Shiro ^{[1
]}

Matsui, Osamu ^{[2
]}

机构：

[1] Fukuiken Saiseikai Hosp, Dept Diagnost Radiol, 7-1 Funabashi,Wadanaka Cho, Fukui 9188503, Japan

[2] Kanazawa Univ, Grad Sch Med Sci, Dept Radiol, Takara Machi, Kanazawa, Ishikawa, Japan

来源：

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY | 2016年 / 27卷 / 09期

关键词：

TRANSCATHETER ARTERIAL CHEMOEMBOLIZATION; IODIZED OIL; HEPATIC-ARTERY; PORTAL-VEIN; TUMOR; EMBOLIZATION; LIVER; THERAPY; CT; SURVIVAL;

D O I：

10.1016/j.jvir.2016.04.014

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Conventional transarterial chemoembolization with ethiodized oil and gelatin sponge (GS) particles is a standard technique for hepatocellular carcinoma: Ethiodized oilcan temporarily block tumor sinusoids, portal venules, hepatic sinusoids, and arterial microconimunications. By adding GS embolization, strong ischemic effects not only on the tumor but also on the surrounding liver parenchyma can be achieved. Superselective conventional transarterial chemoembolization is mainly indicated for patients with Child-Pugh scores of 5-8, tumors <= 7 cm, and <= 5 lesions. According to a Japanese nationwide survey, the 5-year survival rate of patients with Child-Pugh class A and a single tumor was 52%.

引用

页码：1269 / 1278

页数：10

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