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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 344 - 353 (10page)
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초록· 키워드
오류제보하기
Ultraselective conventional transarterial chemoembolization (cTACE), defined as cTACE at the most distal portion of the subsubsegmental hepatic artery, is mainly performed for hepatocellular carcinoma (HCC) ≤5 cm. Distal advancement of a microcatheter enables injection of a larger volume of iodized oil into the portal vein in the limited area under non-physiological hemodynamics. As a result, the reversed portal flow into the tumor through the drainage route of the tumor that occurs when the hepatic artery is embolized is temporarily blocked. By adding gelatin sponge slurry embolization, both the hepatic artery and portal vein are embolized and not only complete necrosis of the tumor but also massive peritumoral necrosis can be achieved. Ultraselective cTACE can cure small HCCs including less hypervascular tumor portions and replace surgical resection and radiofrequency ablation in selected patients.
목차
등록된 정보가 없습니다.
참고문헌 (47)
참고문헌 신청
Cammá C / 2002 / Transarterial chemoembolization for unresectable hepatocellular carcinoma : meta-analysis of randomized controlled trials / Radiology 224:47~54
Brown KT / 2016 / Randomized trial of hepatic artery embolization for hepatocellular carcinoma using doxorubicin-eluting microspheres compared with embolization with microspheres alone / J Clin Oncol 34:2046~2053
Kuroda C / 1991 / Limitation of transcatheter arterial chemoembolization using iodized oil for small hepatocellular carcinoma. A study in resected cases / Cancer 67:81~86
Matsuo N / 1993 / Segmental transcatheter hepatic artery chemoembolization with iodized oil for hepatocellular carcinoma : antitumor effect and influence on normal tissue / J Vasc Interv Radiol 4:543~549
Miyayama S / 2007 / Ultraselective transcatheter arterial chemoembolization with a 2-f tip microcatheter for small hepatocellular carcinomas : relationship between local tumor recurrence and visualization of the portal vein with iodized oil / J Vasc Interv Radiol 18:365~376
Brown KT / 2016 / Randomized trial of hepatic artery embolization for hepatocellular carcinoma using doxorubicin-eluting microspheres compared with embolization with microspheres alone / J Clin Oncol 34:2046~2053
Kuroda C / 1991 / Limitation of transcatheter arterial chemoembolization using iodized oil for small hepatocellular carcinoma. A study in resected cases / Cancer 67:81~86
Matsuo N / 1993 / Segmental transcatheter hepatic artery chemoembolization with iodized oil for hepatocellular carcinoma : antitumor effect and influence on normal tissue / J Vasc Interv Radiol 4:543~549
Miyayama S / 2007 / Ultraselective transcatheter arterial chemoembolization with a 2-f tip microcatheter for small hepatocellular carcinomas : relationship between local tumor recurrence and visualization of the portal vein with iodized oil / J Vasc Interv Radiol 18:365~376
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