title: Prophylactic topically applied ice to prevent cutaneous complications of nontarget chemoembolization and radioembolization.
abstract: Cutaneous complications can result from nontarget deposition during transcatheter arterial chemoembolization or radioembolization. Liver tumors may receive blood supply from parasitized extrahepatic arteries (EHAs) that also perfuse skin or from hepatic arteries located near the origin of the falciform artery (FA), which perfuses the anterior abdominal wall. To vasoconstrict cutaneous vasculature and prevent nontarget deposition, ice packs were topically applied to at-risk skin in nine chemoembolization treatments performed via 14 parasitized EHAs, seven chemoembolization treatments near the FA origin, and five radioembolization treatments in cases in which the FA could not be prophylactically coil-embolized. No postprocedural cutaneous complications were encountered.
authors.affiliation: Division of Interventional Radiology, Department of Radiology, Stanford University Medical Center, 300 Pasteur Drive, H3630, Stanford, CA 94305-5642, USA. dwang@stanfordmed.org
authors.forename: David S
authors.initials: DS
authors.lastname: Wang
authors.forename: John D
authors.initials: JD
authors.lastname: Louie
authors.forename: Nishita
authors.initials: N
authors.lastname: Kothary
authors.forename: Rajesh P
authors.initials: RP
authors.lastname: Shah
authors.forename: Daniel Y
authors.initials: DY
authors.lastname: Sze
mesh_terms: D000328:Adult; D000368:Aged; D016461:Chemoembolization, Therapeutic / Q000009:adverse effects*; D017679:Cryotherapy / Q000379:methods*; D004621:Embolization, Therapeutic / Q000009:adverse effects* / Q000379:methods; D005260:Female; D006801:Humans; D007053:Ice; D008113:Liver Neoplasms / Q000098:blood supply / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011855:Radiodermatitis / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D011878:Radiotherapy / Q000009:adverse effects; D012189:Retrospective Studies; D012867:Skin / Q000098:blood supply / Q000187:drug effects / Q000528:radiation effects; D012871:Skin Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014661:Vasoconstriction
chemical_list: D007053:Ice