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Titolo:
HEPATIC-TUMORS - PREDISPOSING FACTORS FOR COMPLICATIONS OF TRANSCATHETER OILY CHEMOEMBOLIZATION
Autore:
CHUNG JW; PARK JH; HAN JK; CHOI BI; HAN MC; LEE HS; KIM CY;
Indirizzi:
SEOUL NATL UNIV,COLL MED,DEPT RADIOL,CHONGNO GU,28 YONGON DONG SEOUL 110744 SOUTH KOREA SEOUL NATL UNIV,COLL MED,DEPT INTERNAL MED,CHONGNO GU SEOUL 110744 SOUTH KOREA
Titolo Testata:
Radiology
fascicolo: 1, volume: 198, anno: 1996,
pagine: 33 - 40
SICI:
0033-8419(1996)198:1<33:H-PFFC>2.0.ZU;2-R
Fonte:
ISI
Lingua:
ENG
Soggetto:
ARTERIAL EMBOLIZATION; HEPATOCELLULAR-CARCINOMA; GALLBLADDER INFARCTION; PORTAL-VEIN; LIVER; COLLATERALS; METASTASES; NEOPLASMS; INJECTION; OCCLUSION;
Keywords:
CHEMOTHERAPEUTIC INFUSION; HEPATIC ARTERIES, THERAPEUTIC BLOCKADE; LIVER, INTERVENTIONAL PROCEDURES; LIVER NEOPLASMS, CHEMOTHERAPEUTIC INFUSION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
44
Recensione:
Indirizzi per estratti:
Citazione:
J.W. Chung et al., "HEPATIC-TUMORS - PREDISPOSING FACTORS FOR COMPLICATIONS OF TRANSCATHETER OILY CHEMOEMBOLIZATION", Radiology, 198(1), 1996, pp. 33-40

Abstract

PURPOSE: To elucidate major complications and their predisposing factors intranscatheter oily chemoembolization (TOCE) for hepatic tumors. MATERIALS AND METHODS: In a retrospective study of 351 patients (aged 26-82 years) with hepatic tumors, TOCE was performed 942 times with anemulsion of iodized oil (3-40 mt) and doxorubicin hydrochloride (20-60 mg). In 126 patients, TOCE was followed by absorbable gelatin spongeembolization. RESULTS: Complications were severe postembolization syndrome (n = 53); hepatic insufficiency(n = 20), infarction (n = 1), or abscess (n = 1); intrahepatic biloma formation (n = 3); tumor rupture (n = 3); septicemia (n = 9); coagulopathy (n = 1); gastrointestinal bleeding (n = 10); gallbladder (n = 5) or splenic infarction (n = 4); pulmonary oil embolism (n = 6); and spinal cord injury (n = 1). Important predisposing factors were major portal vein obstruction, compromisedhepatic functional reserve, biliary obstruction, previous biliary surgery, excessive amount (>20 mt) of iodized oil hepatic arterial occlusion after repeated TOCE, and nonselective embolization. CONCLUSION: Most patients with major complications after TOCE had preexisting risk factors.

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Documento generato il 08/08/20 alle ore 09:01:57