Benefit of transcatheter arterial embolization for ruptured hepatocellular carcinoma complicating liver cirrhosis.
In 6 patients with spontaneous rupture of hepatocellular carcinoma complicating liver cirrhosis, but with no occlusion of the main portal trunk, transcatheter arterial embolization was performed within 7 days of the rupture. All 6 patients were thought to be inoperable because of shock state or severe hepatic dysfunction. In all 6 patients, the progressive decrease in the hematocrit ceased soon after the embolization. Five patients survived for 31-168 days after the embolization; 1 patient who developed septicemia died 10 days later. We conclude that transcatheter arterial embolization is beneficial as a procedure of first choice for ruptured hepatocellular carcinoma when the portal blood flow is maintained.
Sato
Y
Y
Fujiwara
K
K
Furui
S
S
Ogata
I
I
Oka
Y
Y
Hayashi
S
S
Ohta
Y
Y
Iio
M
M
Oka
H
H
D000328:Adult; D000368:Aged; D001794:Blood Pressure; D006528:Carcinoma, Hepatocellular / Q000150:complications* / Q000628:therapy; D004621:Embolization, Therapeutic; D005260:Female; D006400:Hematocrit; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications*; D008113:Liver Neoplasms / Q000150:complications* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D012421:Rupture