Background: The ART score (a point score for the assessment of retreatment with transarterial chemoembolization, TACE) has been recently developed in Austria to differentiate patients who may benefit from multiple sessions of TACE for hepatocellular carcinoma (HCC) treatment. The primary aim of the study was to test the validity of the ART score in an Italian study cohort. The secondary aims were to evaluate overall survival (OS) and clinical determinants of improved survival in patients treated with multiple TACE sessions. Methods: The ART score and the clinical outcome of 51 consecutive patients with HCC submitted to multiple TACE sessions from April 2002 to December 2009 were retrospectively analyzed. Results: Median OS was 26.0 months (95% confidence interval 18.4-33.6) with 1-, 3- and 5-year survival rates of 75, 33 and 11%, respectively). Thirty-three patients had an ART score of 0-1.5 and in 18 it was >= 2.5, but in our patient series, the ART score was not found to be a predictor of survival (p = 0.173). At univariate analysis, tumor extent (uni- vs. bilobar: 34.0 vs. 9.0 months; p < 0.001), Child-Pugh score before the second TACE (A vs. B7 vs. 88-9:26.0 vs. 16.0 vs. 5.0 months; p = 0.005) and Child-Pugh score increase between the first and second TACE (absent vs. + 1 point vs. + >= 2 points: 27.0 vs. 4.0 vs. 5.0 months; p < 0.001) were statistically.related with survival. At multivariate analysis, only Child-Pugh score increase remained a significant predictor of worse survival (p = 0.001, hazard rate = 11.6). Conclusions: The ART score was not found to work as an objective tool to guide TACE retreatment in our Italian patient series, only the Child-Pugh score increase was an independent predictor of a shorter survival. (C) 2014 S. Karger AG, Basel
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AKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Med Univ Vienna, A-1090 Vienna, AustriaAKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Hucke, Florian
;
Sieghart, Wolfgang
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AKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Med Univ Vienna, A-1090 Vienna, AustriaAKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Sieghart, Wolfgang
;
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Pinter, Matthias
;
Graziadei, Ivo
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Med Univ Innsbruck, A-6020 Innsbruck, AustriaAKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Graziadei, Ivo
;
Vogel, Wolfgang
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Med Univ Innsbruck, A-6020 Innsbruck, AustriaAKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Vogel, Wolfgang
;
Mueller, Christian
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AKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Med Univ Vienna, A-1090 Vienna, AustriaAKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Mueller, Christian
;
Heinzl, Harald
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Med Univ Vienna, Sect Clin Biometr, A-1090 Vienna, AustriaAKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Heinzl, Harald
;
Waneck, Fredrik
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Med Univ Vienna, A-1090 Vienna, Austria
AKH, Dept Intervent Radiol, A-1090 Vienna, AustriaAKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Waneck, Fredrik
;
Trauner, Michael
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AKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Med Univ Vienna, A-1090 Vienna, AustriaAKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Trauner, Michael
;
Peck-Radosavljevic, Markus
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AKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Med Univ Vienna, A-1090 Vienna, AustriaAKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
机构:
AKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Med Univ Vienna, A-1090 Vienna, AustriaAKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Hucke, Florian
;
Sieghart, Wolfgang
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机构:
AKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Med Univ Vienna, A-1090 Vienna, AustriaAKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Sieghart, Wolfgang
;
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Pinter, Matthias
;
Graziadei, Ivo
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Med Univ Innsbruck, A-6020 Innsbruck, AustriaAKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Graziadei, Ivo
;
Vogel, Wolfgang
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Med Univ Innsbruck, A-6020 Innsbruck, AustriaAKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Vogel, Wolfgang
;
Mueller, Christian
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机构:
AKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Med Univ Vienna, A-1090 Vienna, AustriaAKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Mueller, Christian
;
Heinzl, Harald
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Med Univ Vienna, Sect Clin Biometr, A-1090 Vienna, AustriaAKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Heinzl, Harald
;
Waneck, Fredrik
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h-index: 0
机构:
Med Univ Vienna, A-1090 Vienna, Austria
AKH, Dept Intervent Radiol, A-1090 Vienna, AustriaAKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Waneck, Fredrik
;
Trauner, Michael
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h-index: 0
机构:
AKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Med Univ Vienna, A-1090 Vienna, AustriaAKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Trauner, Michael
;
Peck-Radosavljevic, Markus
论文数: 0引用数: 0
h-index: 0
机构:
AKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria
Med Univ Vienna, A-1090 Vienna, AustriaAKH, Dept Internal Med 3, Div Gastroenterol & Hepatol, A-1090 Vienna, Austria