肝癌的介入治疗!摘要.pptVIP

Transcatheter Arterial Chemoembolization Hepatocellular carcinoma precise therapy precise transarterial chemoembolization ablation： microwave ablation，radio-frequency ablation，laser ablation， High Intensity Focused Ultrasound (HIFU) cryo-ablation ethanol ablation，acetic acid ablation radioactive particle Individual combined therapy principle： Background— Precise TACE TACE ---the most mature and effective treatment methods for non-surgical treatment HCC. The quality of TACE effect were not only associated with the tumor vessels embolization but also associated with full showing extrahepatic parasitic artery and precise TACE. Omental artery (OA) --- one of rare extrahepatic parasitic artery supplying HCC. Discussion-5 OA Too Fine  * * Abdominal enhanced CT ：the edge of the tumor arterial thickening, strongly indicate the presence of parasitic OA blood vessel. Use of microcatheter—TACE Use of microcatheter—TACE Use of micro-catheter—first TACE Use of micro-catheter—2nd TACE -----OA branches involved in blood supply----- Use of microcatheter—OAs TACE Use of microcatheter —KUB after OAs TACE OA was too fine, superselective catheterization was failure (black arrow), there gastroduodenal drainage vein in the immediate cessation of embolization (white arrow) * * *