Solitary hepatocellular carcinoma fed by the cystic artery: limitation of transcatheter arterial embolization

Cardiovascular and Interventional Radiology
S HirotaS Ichikawa

Abstract

To clarify the limitations of transcatheter treatment for hepatocellular carcinoma (HCC) with parasitic feeders from the cystic artery. Three male patients had a solitary HCC (average diameter 3 cm) fed by the cystic artery among 221 patients with HCC from 1994 to 1997. One tumor was nourished entirely from the cystic artery arising from the medial branch of the left hepatic artery, and two tumors were fed partially by the cystic arteries arising from the anterior inferior branch of the right hepatic artery. We analyzed the indications for transcatheter treatment for these three patients. We chose not to embolize the cystic artery for fear of necrosis of the gallbladder. Although embolization of the anterior branch of the right hepatic artery was performed in one patient with a tumor fed partially by the cystic artery, only half the tumor was embolized. Two patients underwent hepatic resection, and one received percutaneous ethanol injection therapy. At follow-up of 28-40 months (average 33 months) all patients are alive. Feeding by the cystic artery represents a limitation of TAE for HCC.

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Citations

Dec 25, 2012·Cardiovascular and Interventional Radiology·Beomsik KangJae Hyung Park
Nov 26, 2013·Cardiovascular and Interventional Radiology·Hee Ho ChuJae Hyung Park
Apr 6, 2012·Japanese Journal of Radiology·Shiro MiyayamaOsamu Matsui
Sep 30, 2003·Journal of Vascular and Interventional Radiology : JVIR·S MiyayamaH Nishijima
May 7, 2011·Journal of Vascular and Interventional Radiology : JVIR·Xiaodong WangStephen B Solomon
Jun 10, 2003·Journal of Computer Assisted Tomography·Yuriko OkinoHiromu Mori

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