Transcatheter super-selective hepatic arterial embolization using a mixture of N-butylcyanoacrylate and iodized oil for treatment of symptomatic polycystic liver disease
10.3760/cma.j.issn.1005-1201.2012.11.012
- VernacularTitle:超选择性肝动脉栓塞术治疗多囊肝的初步临床经验
- Author:
Jieyu YAN
;
Feng DUAN
;
Maoqiang WANG
;
Fengyong LIU
;
Zhijun WANG
;
Peng SONG
- Publication Type:Journal Article
- Keywords:
Polycystic kidney,autosomal dominant;
Polycystic liver disease;
Embolization,therapeutic;
Radiology,interventional;
N-butyl-2-cyanoacrylate
- From:
Chinese Journal of Radiology
2012;(11):1014-1018
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of transcatheter arterial embolization (TAE) of massive polycystic liver disease (PLD).Methods A total of 21 patients with symptomatic PLD were enrolled.The patients consisted of seventeen women and four men (aged 36-64 years,mean age,49 years).Transcatheter superselective embolization was performed with the mixture of N-butylcyanoacrylate (NBCA) and iodized oil.All patients underwent contrast enhanced computed tomography (CT) of the liver before TAE and at every 3 months for the first half year after TAE,and at 6-monthly intervals thereafter.Laboratory data,including routine blood tests and liver enzymes,were collected.T test was used for statistics.Results All procedures were successful without serious complications.There was no obvious improvement during the first three months.At follow-up of 6-12 months,symptoms notably improved in 18 of 21 patients,and these patients experienced further relief of the symptoms in the follow-up period.TAE failed to benefit in 3 patients,but there were no complaints of worsening of the symptoms.At follow-up CT,the total liver volume and total intra-hepatic cyst volume decreased significantly (t =6.75,7.73,P ＜0.01)compared with pre-TAE in 18 patients at 12 months after TAE.The total liver volume decreased from (8270 ± 3016) cm3 to (6120 ± 2680) cm3 and the total intra-hepatic cyst volume decreased from (7120 ±3070) cm3 to (4560±2488) cm3.Mild elevation of the liver enzymes returned to the normal range within 1 month in all patients.Conclusions It is suggested that transcatheter super selective embolization with the mixture of NBCA and iodized oil is a safe and effective treatment for PLD patients.This technique is a supplemental option for traditional therapy.
