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Titolo:
Chemoembolization of hepatic neoplasms: Safety, complications, and when toworry
Autore:
Gates, J; Hartnell, GG; Stuart, KE; Clouse, ME;
Indirizzi:
Beth Israel Deaconess Med Ctr, Dept Radiol, Boston, MA USA Beth Israel Deaconess Med Ctr Boston MA USA Dept Radiol, Boston, MA USA Beth Israel Deaconess Med Ctr, Dept Med Oncol, Boston, MA USA Beth Israel Deaconess Med Ctr Boston MA USA pt Med Oncol, Boston, MA USA Harvard Univ, Sch Med, Boston, MA USA Harvard Univ Boston MA USAHarvard Univ, Sch Med, Boston, MA USA
Titolo Testata:
RADIOGRAPHICS
fascicolo: 2, volume: 19, anno: 1999,
pagine: 399 - 414
SICI:
0271-5333(199903/04)19:2<399:COHNSC>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
TRANSCATHETER ARTERIAL EMBOLIZATION; HEPATOCELLULAR-CARCINOMA; SELECTIVE CHEMOEMBOLIZATION; GALLBLADDER INFARCTION; PHASE-II; LIVER; METASTASES; CHEMOTHERAPY; TUMORS;
Keywords:
arteries, chemotherapeutic embolization; hepatic arteries, chemotherapeutic infusion; liver, interventional procedure; liver neoplasms, chemotherapeutic infusion;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
31
Recensione:
Indirizzi per estratti:
Indirizzo: Gates, J 6726 Bonnie Ridge,Apt 102, Baltimore, MD 21209 USA 6726 Bonnie Ridge,Apt 102 Baltimore MD USA 21209 e, MD 21209 USA
Citazione:
J. Gates et al., "Chemoembolization of hepatic neoplasms: Safety, complications, and when toworry", RADIOGRAPHI, 19(2), 1999, pp. 399-414

Abstract

Chemoembolization of the liver for unresectable malignancy, although controversial, is being used with increasing frequency. Chemoembolization can bedifficult, and there is great potential for causing complications, There are also findings after chemoembolization, particularly on computed tomographic scans, that may appear to indicate complications but are common and of no concern. Chemoembolization requires an understanding of the congenital and acquired variations of arterial anatomy that may be seen supplying the liver. Assessment of the patency of the portal vein is also required. An abnormal portal vein demands significant changes in technique to allow safe chemoembolization. Partial or complete occlusion of the portal vein is associated with significantly decreased survival but does not prevent a worthwhile response to chemoembolization and is not an absolute contraindication, The presence of chemoembolization material in the gallbladder is not uncommon; with the technique used by the authors, the chemoembolization material infrequently causes cholecystitis or gallbladder infarction, Extrahepatic chemoembolization material is commonly seen in other organs but usually does not cause problems, presumably because the dose deposited outside the liver is small compared with the dose delivered to the liver. Other complicationsinclude pseudocirrhosis, liver infarction and abscess formation, carcinoidcrisis, hepatorenal syndrome, and liver rupture.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/08/20 alle ore 00:45:43