title: Prevention of variceal rebleeding and treatment of liver carcinoma by consecutive transjugular intrahepatic portosystemic shunt and hepatic artery chemoembolization.
abstract: Variceal bleeding and hepatocellular carcinoma are two severe complications of cirrhosis. One of our patients who bled from oesophageal varices was found to have a malignant hepatic nodule. As the patient refused liver transplantation, a transjugular intrahepatic portosystemic stent was carried out for portal hypertension, and transcatheter arterial chemoembolization for cancer. Both procedures were successful and one year later liver function has not deteriorated. This case shows that intrahepatic stent placement and selective arterial chemoembolization can be safely performed in cirrhotic patients with a solitary hepatocarcinoma nodule and a good liver function reserve.
authors.affiliation: Servizio di Radiologia dell'Istituto di Ricerca e Cura a Carattere Scientifico (IRCCS) Policlinico, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Nicolini
authors.forename: S
authors.initials: S
authors.lastname: Saccheri
authors.forename: A
authors.initials: A
authors.lastname: Lovaria
authors.forename: A
authors.initials: A
authors.lastname: Maggi
authors.forename: M
authors.initials: M
authors.lastname: Cazzaniga
authors.forename: A
authors.initials: A
authors.lastname: Panzeri
authors.forename: F
authors.initials: F
authors.lastname: Salerno
mesh_terms: D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000628:therapy*; D016461:Chemoembolization, Therapeutic; D004932:Esophageal and Gastric Varices / Q000209:etiology / Q000628:therapy*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy*; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications / Q000601:surgery; D008103:Liver Cirrhosis / Q000150:complications*; D008113:Liver Neoplasms / Q000150:complications / Q000628:therapy*; D019168:Portasystemic Shunt, Transjugular Intrahepatic