Transcatheter arterial chemoembolization of hepatocellular carcinoma with blood supply from omental branches:a report of 4 5 cases
10.3969/j.issn.1002-1671.2019.11.027
- VernacularTitle:网膜分支供血肝细胞癌经导管动脉化疗栓塞术治疗4 5 例
- Author:
Qiang HAN
1
;
Hongling ZHU
;
Jie TIAN
;
Xiaohu QI
Author Information
1. 三峡大学第一临床医学院
- Keywords:
omental branch;
transcatheter arterial chemoembolization;
hepatocellular carcinoma;
extrahepatic collateral arteries
- From:
Journal of Practical Radiology
2019;35(11):1821-1824
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the technical success rate,effectiveness and safety of transcatheter arterial chemoembolization (TACE)via the omental branch in the treatment of hepatocellular carcinoma (HCC)with blood supply from the omental branch. Methods 45 patients with HCC fed by the omental branch who had undergone TACE were evaluated retrospectively.Results All patients had undergone several therapeutic procedures including TACE before the revelation of the blood supply from the omental branch,8 patients had a history of surgery of hepatic resection for HCC.45 patients had 48 tumors total,52 omental branches were observed angiographically,48 omental branches (9 2%)were successfully embolized.Stenosis or occlusion of the hepatic artery was observed in 37 patients(82%).The alpha fetoprotein (AFP)levels were reduced from 5.05－4 246.89 ng/mL(mean,1 748.52 ng/mL)before treatment to 3.78－1 048.32 ng/mL(mean,287.46 ng/mL)after TACE 4－6 weeks later.The tumors diminished in size in 32 patients,stabilized in 13 patients(29%),however,recurred 2－6 months (mean,3 months)after TACE.28 patients died after 6－18 months (mean,10 months),17 patients were alive for 3－32 months (mean,14 months),but tumor recurred in 8 patients.Severe complications were not observed in any patient.Conclusion TACE via the omental branch is safe,effective and had high technical success rate,it is important to embolize all the feeding arteries at the same time for reducing the recurrence rate.
