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Title: Balloon-Assisted Chemoembolization Using a Micro-Balloon Catheter Alongside a Microcatheter for a Hepatocellular Carcinoma with a Prominent Arterioportal Shunt: A Case Report

Abstract

Although transcatheter arterial chemoembolization is one of the established treatments for hepatocellular carcinoma (HCC), it is difficult to treat HCCs with prominent arterioportal (AP) shunts because anticancer drugs and embolic materials migrate into the non-tumorous liver through the AP shunts and may cause liver infarction. We developed a novel method of balloon-assisted chemoembolization using a micro-balloon catheter alongside a microcatheter simultaneously inserted through a single 4.5-Fr guiding sheath, comprising proximal chemoembolization with distal arterial balloon occlusion. We applied this method to treat an HCC with a prominent distal AP shunt induced by previous proton beam therapy and achieved successful chemoembolization without non-tumorous liver infarction under temporal balloon occlusion of a distal AP shunt.

Authors:
; ; ; ;  [1];  [2];  [1]
  1. University of Tsukuba Hospital, Department of Diagnostic and Interventional Radiology (Japan)
  2. University of Tsukuba Hospital, Department of Gastroenterology (Japan)
Publication Date:
OSTI Identifier:
22645248
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 40; Journal Issue: 4; Other Information: Copyright (c) 2017 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ANTINEOPLASTIC DRUGS; BALLOONS; BYPASSES; HEPATOMAS; LIVER; PROTON BEAMS; PROTONS; THERAPY

Citation Formats

Hoshiai, Sodai, E-mail: hoshiai@sb4.so-net.ne.jp, Mori, Kensaku, Ishiguro, Toshitaka, Konishi, Takahiro, Uchikawa, Yoko, Fukuda, Kuniaki, and Minami, Manabu. Balloon-Assisted Chemoembolization Using a Micro-Balloon Catheter Alongside a Microcatheter for a Hepatocellular Carcinoma with a Prominent Arterioportal Shunt: A Case Report. United States: N. p., 2017. Web. doi:10.1007/S00270-016-1530-Z.
Hoshiai, Sodai, E-mail: hoshiai@sb4.so-net.ne.jp, Mori, Kensaku, Ishiguro, Toshitaka, Konishi, Takahiro, Uchikawa, Yoko, Fukuda, Kuniaki, & Minami, Manabu. Balloon-Assisted Chemoembolization Using a Micro-Balloon Catheter Alongside a Microcatheter for a Hepatocellular Carcinoma with a Prominent Arterioportal Shunt: A Case Report. United States. doi:10.1007/S00270-016-1530-Z.
Hoshiai, Sodai, E-mail: hoshiai@sb4.so-net.ne.jp, Mori, Kensaku, Ishiguro, Toshitaka, Konishi, Takahiro, Uchikawa, Yoko, Fukuda, Kuniaki, and Minami, Manabu. Sat . "Balloon-Assisted Chemoembolization Using a Micro-Balloon Catheter Alongside a Microcatheter for a Hepatocellular Carcinoma with a Prominent Arterioportal Shunt: A Case Report". United States. doi:10.1007/S00270-016-1530-Z.
@article{osti_22645248,
title = {Balloon-Assisted Chemoembolization Using a Micro-Balloon Catheter Alongside a Microcatheter for a Hepatocellular Carcinoma with a Prominent Arterioportal Shunt: A Case Report},
author = {Hoshiai, Sodai, E-mail: hoshiai@sb4.so-net.ne.jp and Mori, Kensaku and Ishiguro, Toshitaka and Konishi, Takahiro and Uchikawa, Yoko and Fukuda, Kuniaki and Minami, Manabu},
abstractNote = {Although transcatheter arterial chemoembolization is one of the established treatments for hepatocellular carcinoma (HCC), it is difficult to treat HCCs with prominent arterioportal (AP) shunts because anticancer drugs and embolic materials migrate into the non-tumorous liver through the AP shunts and may cause liver infarction. We developed a novel method of balloon-assisted chemoembolization using a micro-balloon catheter alongside a microcatheter simultaneously inserted through a single 4.5-Fr guiding sheath, comprising proximal chemoembolization with distal arterial balloon occlusion. We applied this method to treat an HCC with a prominent distal AP shunt induced by previous proton beam therapy and achieved successful chemoembolization without non-tumorous liver infarction under temporal balloon occlusion of a distal AP shunt.},
doi = {10.1007/S00270-016-1530-Z},
journal = {Cardiovascular and Interventional Radiology},
number = 4,
volume = 40,
place = {United States},
year = {Sat Apr 15 00:00:00 EDT 2017},
month = {Sat Apr 15 00:00:00 EDT 2017}
}