Biliary complications after transcatheter arterial chemoembolization for hepatocellular carcinoma

Abstract

Transarterial chemoembolization (TACE) is considered an effective procedure for liver malignancy. Although the majority of TACE related complications can be treated conservatively, appropriate therapeutic interventions, such as percutaneous/endoscopic drainage or partial hepatectomy, might be needed in cases of signs of severe infection and/or progressive biloma. Therefore, we herein report a case of TACE induced biliary complications which were treated with a multidisciplinary approach; intrahepatic progressive biloma was treated with percutaneous drainage, intrahepatic bile duct stricture was treated by endoscopic balloon dilation and plastic stent placement.

Transhepatic glue injection for hepatic pseudoaneurysm and arteriohepatic venous fistula after the failure of transarterial embolization

“…The broader application of embolization is associated with the risk of post-intervention complications, such as biliary ischemia, cholecystitis, or gallbladder necrosis. 25,26 Therefore, alternative embolization approaches remain necessary to avoid complications and prevent the need for secondary surgery due to residual PSA.…”