PMID: 11698627Nov 8, 2001Paper

Hepatocellular carcinoma with blood supply from omental branches: treatment with transcatheter arterial embolization

Journal of Vascular and Interventional Radiology : JVIR
Shiro MiyayamaHiroshi Nishijima

Abstract

To evaluate the usefulness of transcatheter arterial embolization (TAE) through the omental branch in the treatment of hepatocellular carcinoma (HCC) with blood supply from the omental branch. Fifteen patients with HCC fed by the omental branch underwent TAE. All but one had previously undergone several therapies for HCC, including TAE. Three patients had intraperitoneal hemorrhage caused by ruptured HCC fed by the omental branch, and two necessitated emergency TAE. The technical success rate, therapeutic effect, and safety of TAE via the omental branch were evaluated. Twenty-six omental branches that fed HCC were observed angiographically. Attenuation or occlusion of the hepatic artery was observed in 80%. Nineteen omental branches (73%) could be successfully embolized. Hepatic hemostasis was achieved in all patients with ruptured HCC. Tumor recurred in 80% of patients who underwent successful TAE of the omental branch, and additional therapy was performed in six patients. Ten patients died after 2-26 months (mean, 8 mo). Five patients were alive for 3-13 months (mean, 7 mo). Severe complications were not observed in any patient. TAE of the omental branch is safe and has become technically feasible in almost all patients, but ...Continue Reading

Citations

Dec 6, 2005·Cardiovascular and Interventional Radiology·Shiro MiyayamaTakeshi Mitsui
Jun 2, 2009·Cardiovascular and Interventional Radiology·Shiro MiyayamaOsamu Matsui
Feb 10, 2011·Cardiovascular and Interventional Radiology·Jin Woo ChoiJae Hyung Park
Dec 21, 2006·Surgical and Radiologic Anatomy : SRA·Marios LoukasRobert Jordan
Jan 30, 2013·Chinese Journal of Cancer Research = Chung-kuo Yen Cheng Yen Chiu·Song GaoJia-Hong Dong
Jun 10, 2003·Journal of Computer Assisted Tomography·Yuriko OkinoHiromu Mori
Feb 11, 2009·Journal of Computer Assisted Tomography·Masashi HiedaKatsuhide Ito
Oct 18, 2005·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Hyo-Cheol KimJae Hyung Park
Apr 6, 2012·Japanese Journal of Radiology·Shiro MiyayamaOsamu Matsui
Oct 4, 2011·Journal of Vascular and Interventional Radiology : JVIR·Mohamed H K AbdelmaksoudDaniel Y Sze
Jul 25, 2009·Journal of Medical Imaging and Radiation Oncology·Shiro MiyayamaOsamu Matsui
Apr 10, 2010·Journal of Medical Imaging and Radiation Oncology·L F ChengC S Wong
Sep 27, 2008·Journal of Vascular and Interventional Radiology : JVIR·Hyo-Cheol KimJae Hyung Park
Apr 1, 2017·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Amr Soliman MoustafaSouheil Saddekni
Dec 5, 2006·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Jin Wook ChungJae Hyung Park

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