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CardioVascular and Interventional Radiology

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01-04-2017 | Case Report

Balloon-Assisted Chemoembolization Using a Micro-Balloon Catheter Alongside a Microcatheter for a Hepatocellular Carcinoma with a Prominent Arterioportal Shunt: A Case Report

Authors: Sodai Hoshiai, Kensaku Mori, Toshitaka Ishiguro, Takahiro Konishi, Yoko Uchikawa, Kuniaki Fukuda, Manabu Minami

Published in: CardioVascular and Interventional Radiology | Issue 4/2017

Abstract

Although transcatheter arterial chemoembolization is one of the established treatments for hepatocellular carcinoma (HCC), it is difficult to treat HCCs with prominent arterioportal (AP) shunts because anticancer drugs and embolic materials migrate into the non-tumorous liver through the AP shunts and may cause liver infarction. We developed a novel method of balloon-assisted chemoembolization using a micro-balloon catheter alongside a microcatheter simultaneously inserted through a single 4.5-Fr guiding sheath, comprising proximal chemoembolization with distal arterial balloon occlusion. We applied this method to treat an HCC with a prominent distal AP shunt induced by previous proton beam therapy and achieved successful chemoembolization without non-tumorous liver infarction under temporal balloon occlusion of a distal AP shunt.

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Title: Balloon-Assisted Chemoembolization Using a Micro-Balloon Catheter Alongside a Microcatheter for a Hepatocellular Carcinoma with a Prominent Arterioportal Shunt: A Case Report
Authors: Sodai Hoshiai
Kensaku Mori
Toshitaka Ishiguro
Takahiro Konishi
Yoko Uchikawa
Kuniaki Fukuda
Manabu Minami
Publication date: 01-04-2017
Publisher: Springer US
Published in: CardioVascular and Interventional Radiology / Issue 4/2017
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-016-1530-z

Keynote webinar | Spotlight on medication adherence

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Balloon-Assisted Chemoembolization Using a Micro-Balloon Catheter Alongside a Microcatheter for a Hepatocellular Carcinoma with a Prominent Arterioportal Shunt: A Case Report

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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