Transarterial Ethanol Ablation Combined with Transarterial Chemoembolization for Hepatocellular Carcinoma with Portal Vein Tumor Thrombus

AuthorBiao Yangen
AuthorXin Youen
AuthorMin lan Yuanen
AuthorTian Qiang Qinen
AuthorLin Jia Duanen
AuthorJiao Heen
AuthorZe Jun Feien
AuthorXuan Zhouen
AuthorRui Yu Zanen
AuthorZheng Yin Liaoen
Issued Date2016-08-01en
AbstractBackground: The prognosis for hepatocellular carcinoma (HCC) with portal vein tumor thrombosis (PVTT) is extremely poor. Objectives: This study aimed to evaluate the safety and effectiveness of transarterial ethanol ablation (TEA) for the treatment of HCC with PVTT. Methods: Patients were treated with TEA for PVTT under cone-beam computed tomography and traditional transarterial chemoembolization (TACE) with epirubicin for intrahepatic lesions. Results: Seventeen men were successfully treated with TACE plus TEA. The mean overall survival was 18.3 ± 9.0 months (95% CI: 13.7 - 3.0 months). The quality of life (QoL) score increased from 56.9 ± 15.7 before the procedure to 88.5 ± 11.7 at 4 weeks after the procedure. Lipiodol accumulation grades of 3, 2, 1, and 0 were obtained in 3 (17.6%), 8 (47.1%), 6 (35.3%), and 0 (0%) patients, respectively. Conclusions: TEA is a safe and effective method for treating patients with PVTT, offering advantages for QoL, response rate after TEA, and OS.en
DOIhttps://doi.org/10.5812/hepatmon.37584en
KeywordPortal Vein Tumor Thrombosisen
KeywordEthanolen
KeywordTransarterial Ethanol Ablationen
KeywordHepatocellular Carcinomaen
KeywordCone-Beam Computed Tomographyen
PublisherBrieflandsen
TitleTransarterial Ethanol Ablation Combined with Transarterial Chemoembolization for Hepatocellular Carcinoma with Portal Vein Tumor Thrombusen
TypeResearch Articleen

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