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Transcatheter arterial embolization for unresectable symptomatic giant hepatic hemangiomas: single-center experience using a lipiodol-ethanol mixture.

Szejnfeld D, Nunes TF, Fornazari VA, de Matos CA, Gonzalez AM, D'Ippolito G, Silva IS, Goldman SM - Radiol Bras (2015 May-Jun)

Bottom Line: Symptoms regression and quality of life improvement were observed in all the cases.No complications were observed and all the patients were discharged within 12 hours after the procedure.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: MDs, Department of Imaging Diagnostic, Federal University of São Paulo (Unifesp), São Paulo, SP, Brazil.

ABSTRACT

Objective: The present article is aimed at reporting the author's experience with transcatheter arterial embolization using a lipiodol-ethanol mixture in three cases of unresectable symptomatic giant hepatic hemangiomas.

Materials and methods: The cases of three patients with giant unresectable symptomatic hepatic hemangiomas embolized in the period 2009-2010 were retrospectively reviewed. In all the cases, transarterial embolization was performed with an ethanol-lipiodol mixture.

Results: Symptoms regression and quality of life improvement were observed in all the cases. No complications were observed and all the patients were discharged within 12 hours after the procedure.

Conclusion: Transcatheter arterial embolization using ethanol mixed with lipiodol was a safe and effective treatment for symptomatic giant hepatic hemangiomas in this small series of patients.

No MeSH data available.


Related in: MedlinePlus

A: Pre-embolization axial, contrast-enhanced CT image showingextensive contact of the tumor with the left portal branch (arrow) and the typicalpattern of hemangioma. B: Post-embolization CT image showingdiffusion of lipiodol within the nodule and tumor size decrease.
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f02: A: Pre-embolization axial, contrast-enhanced CT image showingextensive contact of the tumor with the left portal branch (arrow) and the typicalpattern of hemangioma. B: Post-embolization CT image showingdiffusion of lipiodol within the nodule and tumor size decrease.

Mentions: Two patients showed a moderate decrease and one patient showed a slight decrease (nomore than 10% in the maximum diameter) in tumor size after TAE (Figure 2). Quality of life assessment revealed significant symptomregression and improvement in all four domains related to quality of life (physicalhealth, psychological well-being, social relationships and environment) for all threepatients (Table 1).


Transcatheter arterial embolization for unresectable symptomatic giant hepatic hemangiomas: single-center experience using a lipiodol-ethanol mixture.

Szejnfeld D, Nunes TF, Fornazari VA, de Matos CA, Gonzalez AM, D'Ippolito G, Silva IS, Goldman SM - Radiol Bras (2015 May-Jun)

A: Pre-embolization axial, contrast-enhanced CT image showingextensive contact of the tumor with the left portal branch (arrow) and the typicalpattern of hemangioma. B: Post-embolization CT image showingdiffusion of lipiodol within the nodule and tumor size decrease.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4492567&req=5

f02: A: Pre-embolization axial, contrast-enhanced CT image showingextensive contact of the tumor with the left portal branch (arrow) and the typicalpattern of hemangioma. B: Post-embolization CT image showingdiffusion of lipiodol within the nodule and tumor size decrease.
Mentions: Two patients showed a moderate decrease and one patient showed a slight decrease (nomore than 10% in the maximum diameter) in tumor size after TAE (Figure 2). Quality of life assessment revealed significant symptomregression and improvement in all four domains related to quality of life (physicalhealth, psychological well-being, social relationships and environment) for all threepatients (Table 1).

Bottom Line: Symptoms regression and quality of life improvement were observed in all the cases.No complications were observed and all the patients were discharged within 12 hours after the procedure.Abstract available from the publisher.

View Article: PubMed Central - PubMed

Affiliation: MDs, Department of Imaging Diagnostic, Federal University of São Paulo (Unifesp), São Paulo, SP, Brazil.

ABSTRACT

Objective: The present article is aimed at reporting the author's experience with transcatheter arterial embolization using a lipiodol-ethanol mixture in three cases of unresectable symptomatic giant hepatic hemangiomas.

Materials and methods: The cases of three patients with giant unresectable symptomatic hepatic hemangiomas embolized in the period 2009-2010 were retrospectively reviewed. In all the cases, transarterial embolization was performed with an ethanol-lipiodol mixture.

Results: Symptoms regression and quality of life improvement were observed in all the cases. No complications were observed and all the patients were discharged within 12 hours after the procedure.

Conclusion: Transcatheter arterial embolization using ethanol mixed with lipiodol was a safe and effective treatment for symptomatic giant hepatic hemangiomas in this small series of patients.

No MeSH data available.


Related in: MedlinePlus