Department of Radiology, Nagasaki University School of Medicine, Japan.
AJR Am J Roentgenol. 2010 Jul;195(1):245-51. doi: 10.2214/AJR.08.2301.
The purpose of this article is to review the angiographic changes, development of collaterals, and possible complications after transcatheter arterial chemoembolization (TACE) in hepatocellular carcinoma (HCC).
Extrahepatic collateral arteries can supply the tumor after repeated TACE. Knowledge of hepatic artery changes can help in repeated TACE procedures and reduce TACE time. Appreciation of the complications and collaterals may improve the outcome of patients with HCC.
本文旨在回顾经导管动脉化疗栓塞(TACE)治疗肝细胞癌(HCC)后的血管造影变化、侧支循环的发展以及可能出现的并发症。
重复 TACE 后,体循环侧支动脉可向肿瘤供血。了解肝动脉变化有助于重复 TACE 操作并缩短 TACE 时间。了解并发症和侧支循环可以改善 HCC 患者的预后。