Compulsory superselective arterial embolization in hypovascular local hepatic tumor ablation. Microballoon coaxial catheterization.
We performed compulsory superselective transcatheter arterial embolization on local hypovascular liver metastases under balloon occlusion using a 1-mm (3 F) coaxial microballoon catheter in 2 cases. One case was a metastasis from breast cancer (maximum diameter 5.5 cm) at segment 7. The other case comprised metastases from rectal cancer (maximum diameter 8 cm) at segments 7 and 8. Absolute ethanol (50%) mixed with Lipiodol (50%) was used for embolization. No major treatment-related complications occurred. No local recurrence was observed in either case in follow-up CT and MR studies of up to 16 and 9 months respectively. This technique may thus be applied as an alternative to surgical resection in the treatment of local hypovascular liver tumors.
Ishizaka
H
H
Department of Radiology, Tano General Hospital, Fujioka-City, Japan.
Ishijima
H
H
Katsuya
T
T
Horikoshi
H
H
Koyama
Y
Y
D000368:Aged; D002404:Catheterization / Q000295:instrumentation / Q000379:methods*; D002445:Celiac Artery / Q000000981:diagnostic imaging; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D000431:Ethanol / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007459:Iodized Oil / Q000008:administration & dosage; D008113:Liver Neoplasms / Q000098:blood supply* / Q000175:diagnosis / Q000556:secondary / Q000628:therapy*; D008279:Magnetic Resonance Imaging; D014057:Tomography, X-Ray Computed
D000431:Ethanol; D007459:Iodized Oil