Left Brachial Approach for Transcatheter ArterialEmbolization with Hepatocellular Carcinoma Therapy inPatients
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- 作者：Watanabe ; Seishiro ; Minami ; Atushi ; Nishioka ; Mikio ; Ohkawa ; Motoomi ; Koui ; Fumikazu
- 关键词：HEPATOCELLULAR CARCINOMA ; TRANSCATHETER ARTERIAL EMBOLIZATION ; ANGIOGRAPHIC TECHNOLOGY ; LEFT BRACHIAL APPROACH ; INTERVENTIONAL PROCEDURE
- 刊名：Digestive Diseases and Sciences
- 出版时间：1997
- 出版年：1997
- 期刊代码：5_01632116
- 类别：bus
- 卷：42
- 期：1
- 页码：47-58
- 数据来源：sp
摘要
We evaluated the efficacy of thelipiodol-transcatheter arterial embolization (L-TAE)technique for hepatocellular carcinoma (HCC) performedusing a left brachial approach. A total of 64 procedureswere performed using the brachial route in 53patients with HCC between 1989 and 1996 using a 4-Frenchcatheter and these patients were retrospectivelystudied. The technical success rate was 95.3%. Theoverall complication rate was 31.3%: fever of over38.0°C lasting longer than three days (18.8%),transient neurologic complications (4.7%), andpancreatitis (1.6%). Complications such as lumbago, backpain, and dissection of the celiac artery or itsbranches, which frequently complicated femoralapproaches, were avoided. These data indicate that L-TAEusing the left brachial approach may be a safe andeffective alternative to the transfemoral approach inpatients with HCC.