Complications associated with transcatheter arterial embolization for hepatic tumors.

Sakamoto, Ichiro; Aso, Nobuya; Nagaoki, Kenji; Matsuoka, Yoshikazu; Uetani, Masataka; Ashizawa, Kazuto; Iwanaga, Soji; Mori, Masakazu; Morikawa, Minoru; Fukuda, Toshio; Hayashi, Kuniaki; Matsunaga, Naofumi

doi:10.1148/radiographics.18.3.9599386

Cited by 219 publications

(149 citation statements)

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“…However, TACE can lead to several possible complications, It was reported that the incidence of major complications was 2.7% per TACE procedure [9].The main complication of TACE is the ''postembolization syndrome'' including abdominal pains (26 to 55%), vomiting (17 to 50%), fever (33 to 55%) and liver cytolysis, it occurs in up to 90% of patients after the procedure. The etiology of this syndrome is not fully 1924 understood but it is probably resulting from a combination of tissue ischemia and an inflammatory response to chemoembolization [10,11] .The other common complications include intrahepatic biloma, cholecystitis, liver abscess, biliary tract injury, renal failure, splenic infarction, gastrointestinal mucosal lesions, multiple intrahepatic anevrysms, and rare but more severe complications include acute hepatic failure, necrotizing pancreatitis ,pulmonary embolism or infarction, tumor rupture, hepatorenal syndrome, and variceal bleeding [12].…”

Section: Discussion:-mentioning

confidence: 99%

Acute Pancreatitis After Transarterial Chemoembolization Before Liver Transplantation for Hepatocellular Carcinoma: A Case Report.

Basr¹,

Saouab²,

Aitbihi³

et al. 2017

IJAR

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Section: Discussion:-mentioning

confidence: 99%

Acute Pancreatitis After Transarterial Chemoembolization Before Liver Transplantation for Hepatocellular Carcinoma: A Case Report.

Basr¹,

Saouab²,

Aitbihi³

et al. 2017

IJAR

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“…Few centers across the world continue to use bland embolization as the treatment of HCC with results comparable to chemoembolization. The use of small size particles 40-50 μm is the key for achieving adequate penetration of the tumor microvasculature [7].…”

Section: Bland Embolization With Particlementioning

confidence: 99%

“…Supportive treatment with nonsteroidal antiinflammatory drugs and antiemetics is generally the only treatment necessary. Liver abscess and liver failure are the most dreaded complications occurring in <1% of patients [7,[22][23][24].…”

Section: Postprocedures Carementioning

confidence: 99%

Interventional Radiological Treatment of Hepatocellular Carcinoma: An Update

2011

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Hepatocellular carcinoma is the commonest primary liver tumor and its incidence is on an increase. Transplantation and surgical resection are the gold standard curative treatment options but less than 20%patients are surgical candidates because of advanced liver disease and/ or co-morbidities.Various interventional radiological procedures have been developed and intensively investigated for treatment of inoperable HCC.This review summarizes the various interventional radiological treatments in HCC including patient selection, procedural considerations and response evaluation. Transarterial chemoembolization, radioembolization and radiofrequency ablation are mainly discussed.

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“…The cystic artery usually supplies the liver parenchyma near the gallbladder bed as well as the gallbladder [1,2]. The clinical significance of the cystic artery during chemoembolization is the possibility of ischemic complications of the gallbladder [3][4][5][6][7][8][9][10][11][12]. The incidence and outcomes of cholecystitis after transcatheter arterial chemoembolization (TACE) is somewhat controversial.…”

Section: Introductionmentioning

confidence: 99%

Repeated Intra-Arterial Therapy via the Cystic Artery for Hepatocellular Carcinoma

Chu

Kim

Chung

et al. 2013

Cardiovasc Intervent Radiol

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Purpose To evaluate the postprocedural imaging findings and safety of repeated intra-arterial therapy via the cystic artery in patients with hepatocellular carcinoma (HCC). Methods This retrospective study was approved by our institutional review board. From February 2002 to January 2012, we performed repeated (two or more) chemotherapeutic infusion or chemoembolization via the cystic artery using iodized oil in 132 patients with HCCs. Computed tomographic (CT) scans, digital subtraction angiograms, and medical records were retrospectively reviewed by consensus. Results A total of 340 sessions of intra-arterial therapy (160 sessions of chemotherapeutic infusion and 180 sessions of chemoembolization) via the cystic artery were undertaken in 132 patients. Fifty-five of 132 patients received both chemotherapeutic infusion and chemoembolization. The incidence of gallbladder wall thickening on follow-up contrast-enhanced CT was significantly higher in chemoembolization (48 of 180, 26.7 %) than in chemotherapeutic infusion (27 of 160, 16.9 %) (P = 0.035). Persistent gallbladder wall thickening was more frequently observed in chemoembolization (48 of 107, 44.9 %) than in chemotherapeutic infusion (27 of 90, 30 %) (P = 0.039). The major complication rate was 15 of 340 sessions (4.4 %) with 11 of 132 patients (8.3 %). Acute cholecystitis, which was related to intra-arterial therapy via the cystic artery, developed in two patients and was managed by conservative treatment. Conclusion HCC supplied by the cystic artery can be safely treated by repeated intra-arterial chemotherapeutic infusion or chemoembolization using iodized oil through the cystic artery.

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Complications associated with transcatheter arterial embolization for hepatic tumors.

Cited by 219 publications

References 0 publications

Acute Pancreatitis After Transarterial Chemoembolization Before Liver Transplantation for Hepatocellular Carcinoma: A Case Report.

Acute Pancreatitis After Transarterial Chemoembolization Before Liver Transplantation for Hepatocellular Carcinoma: A Case Report.

Interventional Radiological Treatment of Hepatocellular Carcinoma: An Update

Repeated Intra-Arterial Therapy via the Cystic Artery for Hepatocellular Carcinoma

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