Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma After Attempted Portal Vein Embolization in 25 Patients

被引:13
作者
Kang, Bo-Kyeong [1 ,2 ]
Kim, Jin Hyoung [1 ,2 ]
Kim, Kwang Mi [1 ,2 ]
Ko, Gi-Young [1 ,2 ]
Yoon, Hyun-Ki [1 ,2 ]
Gwon, Dong Il [1 ,2 ]
Sung, Kyu-Bo [1 ,2 ]
机构
[1] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Radiol, 388-1 Poongnap 2dong, Seoul 138736, South Korea
[2] Univ Ulsan, Coll Med, Asan Med Ctr, Res Inst Radiol, Seoul 138736, South Korea
关键词
hepatocellular carcinoma; portal vein embolization; transcatheter arterial chemoembolization; UNRESECTABLE INTRAHEPATIC CHOLANGIOCARCINOMA; DOXORUBICIN-ELUTING BEADS; MAJOR LIVER RESECTION; TRANSARTERIAL CHEMOEMBOLIZATION; MULTIVARIATE-ANALYSIS; RIGHT HEPATECTOMY; EFFICACY; CANCER; REGENERATION; METASTASES;
D O I
10.2214/AJR.09.2479
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
OBJECTIVE. Portal vein embolization (PVE) has been widely used to facilitate major liver resection; however, curative surgery even after PVE may not be possible mainly because of inadequate hypertrophy of remnant liver or disease progression. For these patients, transcatheter arterial chemoembolization (TACE) is the next therapeutic option. We evaluated the safety and efficacy of TACE after PVE in 25 patients with hepatocellular carcinoma (HCC). CONCLUSION. TACE using a single chemotherapeutic agent can be performed safely and effectively in HCC patients who previously underwent PVE. TACE after PVE allowed two of the patients to be downstaged so they could undergo surgical resection.
引用
收藏
页码:W446 / W451
页数:6
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