Anaesthetic management of hepatic artery chemoembolization in a paediatric patient

Latoo, M. Y.; Oliver, A.; Roebuck, Derek J.

doi:10.1046/j.1460-9592.2002.00843.x

Cited by 7 publications

(3 citation statements)

References 4 publications

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“…Tumor lysis syndromes are uncommon in HCC, but in some other tumors hydration and allopurinol are suggested [20]. Hormone-producing tumors need specific pretreatments, see below.…”

Section: Pre-treatment Considerations and Contraindicationsmentioning

confidence: 99%

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Liver embolizations in oncology: A review

Gunvén

2007

Med Oncol

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Arterial embolization of the liver often temporarily retards the growth of liver tumors which are mainly nourished arterially. The use of degradable agents avoids collateral formation which would prohibit repeat procedures and permit tumor regrowth. The effect of embolizations is largest in small hypervascular lesions, e.g., many hepatocellular or neuroendocrine cancers. Toxic chemicals can be added, chemoembolization, with unproven effects on responses and survival rates. Institutional differences in indications and procedures make evaluation of embolizations difficult. However, intermediate-term survival increases in selected cases of unresectable hepatocellular cancers and hormonal symptoms from neuroendocrine tumors often improve. Scant experience supports embolization for anti-tumoral effects in some pediatric tumors, to control bleeding from ruptured tumors, for symptomatic hemangiomas, and for downstaging of hepatocellular cancers before transplantation.

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“…Tumor lysis syndromes are uncommon in HCC, but in some other tumors hydration and allopurinol are suggested [20]. Hormone-producing tumors need specific pretreatments, see below.…”

Section: Pre-treatment Considerations and Contraindicationsmentioning

confidence: 99%

“…Pre-treatment with allopurinol seems advisable [20]. An average Lipiodol dose of 0.6 ml per cm tumor diameter [104] or other agents [105] were employed with side effects similar to those in adults.…”

Section: Pediatric Tumorsmentioning

confidence: 99%

Liver embolizations in oncology: A review

Gunvén

2007

Med Oncol

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“…In this particular situation it is a complicating factor when we bear in mind the potential respiratory complications of TACE [5,11].…”

Section: Advantages and Disadvantagesmentioning

confidence: 99%

Transarterial chemoembolization in the treatment of hepatoblastoma in children

Vogl

Scheller²,

Jakob³

et al. 2005

Eur Radiol

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Hepatoblastoma is one of the clinical challenges in children, as it is common and frequently unresectable. Chemotherapy can be administered regionally instead of systemically by transarterial chemoembolization (TACE) and thus improve prognosis. The advantages of this technique over systemic chemotherapy led to developing its role from being a palliative or an adjuvant preoperative treatment to being a potentially independent palliative or curative therapeutic option. The technical aspects and complications of a combined transarterial administration of chemotherapeutic and vascular occlusive agents in cases of hepatoblastoma in children are discussed, to give a comprehensive idea about the value of TACE in this context.

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Spécificités anesthésiques liées à la prise en charge anesthésique de l'enfant porteur d'une tumeur

Lejus

2006

Annales Françaises d'Anesthésie et de Réanimation

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Anaesthetic management of hepatic artery chemoembolization in a paediatric patient

Abstract: We present a case of a 3-year-old child who underwent hepatic artery chemoembolization. The anaesthetic management, prophylaxis of tumour lysis syndrome, nausea and vomiting and the management of perioperative pain relief are all discussed.

Cited by 7 publications

References 4 publications

Liver embolizations in oncology: A review

Liver embolizations in oncology: A review

Transarterial chemoembolization in the treatment of hepatoblastoma in children

Spécificités anesthésiques liées à la prise en charge anesthésique de l'enfant porteur d'une tumeur

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