Application of catheter fenestration technology in transcatheter arterial chemoembolization for hepatocellular carcinoma supplied by the right inferior phrenic artery
10.3969/j.issn.1008-794X.2024.10.007
- VernacularTitle:导管开窗技术在右膈下动脉供血的肝癌TACE中的应用
- Author:
Rujian WANG
1
;
Yutian JIANG
;
Qiang FU
;
Zhongfeng SHENG
;
Yong CHEN
;
Wenjin JIANG
Author Information
1. 264000 山东烟台 烟台毓璜顶医院介入治疗科
- Keywords:
catheter fenestration;
right inferior phrenic artery;
hepatocellular carcinoma;
transcatheter arterial chemoembolization
- From:
Journal of Interventional Radiology
2024;33(10):1078-1082
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility and safety of using catheter fenestration technology in transcatheter arterial chemoembolization(TACE)for hepatocellular carcinoma(HCC)supplied by the right inferior phrenic artery(RIPA).Methods From March 2023 to May 2023,five HCC patients,whose HCC lesions were supplied by RIP A,received TACE by using catheter fenestration technology to accomplish the superselective catheterization of RIPA after the conventional microcatheter catheterization of RIPA failed.Results Superselective catheterization of RIPA and TACE were successfully accomplished in all the 5 patients,with a surgical success rate of 100％.The time spent for superselective catheterization of RIPA was(3.2±2.39)minutes.After TACE,the levels of the tumor indicators were decreased when compared with the pre-TACE values,while the liver function indexes showed no obvious damage.Based on the mRECIST criteria,PR was obtained in 3 patients and CR was obtained in 2 patients.None of the five patients developed serious adverse reactions.Conclusion In treating patients with HCC supplied by RIPA,the use of catheter fenestration technology can safely and effectively improve the success rate of superselective catheterization of RIPA during TACE.
