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Transcatheter Arterial Chemoembolization for Hepatocellular Carcinoma: Anatomic and Hemodynamic Considerations in the Hepatic Artery and Portal Vein

Authors
 Kwang-Hun Lee  ;  Kyu-Bo Sung  ;  Do-Yun Lee  ;  Sang Joon Park  ;  Ki Whang Kim  ;  Jeong-Sik Yu 
Citation
 RADIOGRAPHICS, Vol.22(5) : 1077-1091, 2002 
Journal Title
 RADIOGRAPHICS 
ISSN
 0271-5333 
Issue Date
2002
MeSH
Antineoplastic Agents/administration & dosage ; Carcinoma, Hepatocellular/therapy* ; Catheterization ; Chemoembolization, Therapeutic/methods* ; Collateral Circulation ; Hemodynamics/physiology ; Hepatic Artery*/anatomy & histology ; Hepatic Artery*/diagnostic imaging ; Humans ; Liver Neoplasms/therapy* ; Portal Vein*/anatomy & histology ; Portal Vein*/diagnostic imaging ; Radiography
Abstract
Hepatocellular carcinoma (HCC) is the most common malignant tumor of the liver. Although several therapeutic options have been advocated, transcatheter arterial chemoembolization (TACE) in particular has been widely performed in the treatment of HCC. Still, hepatic arteriography and portography are mandatory for evaluation of (a) the resectability and multiplicity of HCCs and (b) the hemodynamic status of the portal vein. Thereafter, TACE can be considered as the initial therapeutic modality. The possibility of nontarget organ complications during TACE (eg, ischemic cholecystitis, splenic infarction, gastrointestinal mucosal lesions, pulmonary embolism and infarction, spinal cord injury, ischemic skin lesions) should be taken seriously. A thorough understanding of the anatomic variants and hemodynamic features of the hepatic artery and portal vein is the first step in performing effective and safe TACE for HCC.
Full Text
http://pubs.rsna.org/doi/abs/10.1148/radiographics.22.5.g02se191077
DOI
10.1148/radiographics.22.5.g02se191077
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Ki Whang(김기황)
Yu, Jeong Sik(유정식) ORCID logo https://orcid.org/0000-0002-8171-5838
Lee, Kwang Hun(이광훈)
Lee, Do Yun(이도연)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/144684
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