Riaz Ahsun, Lewandowski Robert J, Kulik Laura M, Mulcahy Mary F, Sato Kent T, Ryu Robert K, Omary Reed A, Salem Riad
Department of Radiology, Section of Interventional Radiology, Northwestern University, 676 North St. Clair Street, Suite 800, Chicago, IL 60611, USA.
J Vasc Interv Radiol. 2009 Sep;20(9):1121-30; quiz 1131. doi: 10.1016/j.jvir.2009.05.030. Epub 2009 Jul 29.
The past decade has seen significant advancement in the locoregional management of liver tumors; novel and promising therapies such as transarterial chemoembolization, radioembolization, and radiofrequency ablation are now available. The development of new techniques and devices has led to the improved safety and efficacy profiles of external-beam radiation. Radioembolization with yttrium-90 ((90)Y) microspheres has emerged as a safe and efficacious treatment modality for liver malignancies. The purpose of this article is to present a comprehensive evidence-based review of the complications and adverse events that may be associated with radioembolization with (90)Y microspheres. Strategies to mitigate these adverse events are also discussed.
在过去十年中,肝脏肿瘤的局部区域管理取得了显著进展;现在已有经动脉化疗栓塞、放射性栓塞和射频消融等新颖且有前景的治疗方法。新技术和设备的发展提高了外照射放疗的安全性和有效性。钇-90(90Y)微球放射性栓塞已成为治疗肝脏恶性肿瘤的一种安全有效的治疗方式。本文旨在对与90Y微球放射性栓塞相关的并发症和不良事件进行全面的循证综述。还讨论了减轻这些不良事件的策略。