Document Detail


Predisposing factors of bile duct injury after transcatheter arterial chemoembolization (TACE) for hepatic malignancy.
MedLine Citation:
PMID:  12042987     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study was to investigate the predisposing factors of bile duct injury after transcatheter arterial chemoembolization (TACE) for treatment of hepatic malignancy. For patients (n = 31) with TACE-related bile duct injuries during a 36-month period, final diagnoses of the tumor, the liver profile, presence of portal vein thrombosis, total number and mode of the TACE just before the development of bile duct injury were compared, respectively with those of patients without bile duct injury n = 234) after TACE. The incidence of bile duct injury was higher in the patients with non-hepatocellular tumors than in patients with hepatocellular carcinoma (p <0.01), and higher in Child-Pugh class A patients than in B or C patients (p <0.01). Segmental or subsegmental TACE tended to induce bile duct injury more frequently than the proximal TACE (p = 0.01). Portal vein thrombosis, the total number of TACEs, total amount of iodized oil, and the usage of gelatin sponge were not closely related to bile duct injuries after TACE (p >0.05). It was concluded that the chance of bile duct injury after TACE is increased in non-cirrhotic livers with good liver profile and to the more selective embolization of distal arterial branches.
Authors:
Jeong-Sik Yu; Ki Whang Kim; Mi-Gyoung Jeong; Deok Hee Lee; Mi-Suk Park; Sang-Wook Yoon
Related Documents :
7887867 - Vascular surgery.
7775787 - Traumatic bilateral carotid dissection.
11825757 - The use of off pump surgery for management of penetrating coronary artery injury.
8843797 - Recombinant thrombomodulin prevents endotoxin-induced lung injury in rats by inhibiting...
17537387 - Ocular manifestations in antiphospholipid syndrome.
3740267 - Vasoactive intestinal peptide may participate in the vasodilation of the dog hepatic ar...
Publication Detail:
Type:  Journal Article     Date:  2002-06-04
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  25     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2002 Jul-Aug
Date Detail:
Created Date:  2002-09-26     Completed Date:  2003-03-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  270-4     Citation Subset:  IM    
Affiliation:
Department of Diagnostic Radiology and Research Institute of Radiological Science, Yonsei University College of Medicine, YongDong Severance Hospital, 146-92 Dogok-Dong, Gangnam-Gu, Seoul 135-270, South Korea.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adenocarcinoma / radiography*,  therapy*
Bile Ducts / injuries*
Catheterization / adverse effects*
Causality
Chemoembolization, Therapeutic / adverse effects*
Female
Humans
Iodized Oil / administration & dosage
Liver / pathology*,  radiography*
Liver Neoplasms / radiography*,  therapy*
Male
Middle Aged
Retrospective Studies
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
8001-40-9/Iodized Oil

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Gemcitabine, ifosfamide and Navelbine (GIN): a platinum-free combination in advanced non-small-cell ...
Next Document:  Early experience and midterm follow-up results with a new, rotational thrombectomy catheter.