Recent technical advances in conventional transarterial chemoembolization for hepatocellular carcinoma in Japan

Hiroki Higashihara; Yusuke Ono; Kaisyu Tanaka; Kosuke Tomotake; Noriyuki Tomiyama

doi:10.18528/ijgii210042

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자료유형: 학술저널

저자정보: Hiroki Higashihara (Department of Diagnostic and Interventional Radiology Osaka University Graduate School of Medicine) Yusuke Ono (Department of Diagnostic and Interventional Radiology Osaka University Graduate School of Medicine) Kaisyu Tanaka (Department of Diagnostic and Interventional Radiology Osaka University Graduate School of Medicine) Kosuke Tomotake (Department of Diagnostic and Interventional Radiology Osaka University Graduate School of Medicine) Noriyuki Tomiyama (Department of Diagnostic and Interventional Radiology Osaka University Graduate School of Medicine)

저널정보: 소화기인터벤션의학회 International Journal of Gastrointestinal Intervention International Journal of Gastrointestinal Intervention 제10권 제4호

발행연도: 2021.10

수록면: 152 - 160 (9page)

DOI: 10.18528/ijgii210042

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Conventional transarterial chemoembolization (TACE) using ethiodized oil and gelatin sponge (GS) particles is a standard treatment for unresectable BCLC-B stage hepatocellular carcinoma (HCC). Ethiodized oil can cause temporary embolic micro-interactions in tumor sinuses, portal veins, hepatic venous sinuses, and arteries as a temporary embolic material for the microvasculature. Using GS particles as an added embolic material, strong ischemic effects can be achieved not only in HCC, but also in the surrounding liver parenchyma. In recent years, various technical innovations in TACE using ethiodized oil have been made in Japan to improve the outcomes of TACE, such as a device for emulsifying ethiodized oil and water-soluble anticancer drugs, the use of intraoperative embolization guidance software to plan embolization during TACE, and the introduction of various microcatheters. This report examines some of the technical innovations that have been adopted to improve TACE outcomes.

#Carcinoma #hepatocellular #Conventional transarterial chemoembolization #Ethiodized oil #Radiology #interventional #Transarterial chemoembolization

참고문헌 (54)

참고문헌 신청

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Yamada R / 1983 / Hepatic artery embolization in 120 patients with unresectable hepatoma / Radiology 148:397~401

Konno T / 1983 / Effect of arterial administration of high-molecular-weight anticancer agent SMANCS with lipid lymphographic agent on hepatoma: a preliminary report / Eur J Cancer Clin Oncol 19:1053~1065

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Uchida H / 1990 / Transcatheter hepatic segmental arterial embolization using lipiodol mixed with an anticancer drug and Gelfoam particles for hepatocellular carcinoma / Cardiovasc Intervent Radiol 13:140~145

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