Musset D, Gorse F, Roche A
Ann Gastroenterol Hepatol (Paris). 1985 Feb-Mar;21(2):79-81.
The results of 42 cases of arterial embolisation in patients with hepatic metastases are reported. In two-thirds of the cases the primary tumor was found in the gut. In eight cases endocrine tumor dissemination was incriminated. Arterial occlusion called for use of various inert substances (e.g. Spongel, Duremere) or cyanoacrylate, but in this instance chemical embolisation was excluded. The antalgic effect of embolisation (72 percent success rate) and antipyretic effect on persistent fever (60 percent success rate) constituted the usual indications. Metastases of secreting tumors are verily more rare, nevertheless they are indubitably a major indication for embolisation, since good results are achieved concerning inopportune secretions and repeat embolisations possible are a super advantage. The good symptomatic results of embolisation must incite its consideration in unoperable but nonterminal cases whose medical therapy is no longer or simply not effective.
报告了42例肝转移患者动脉栓塞的结果。在三分之二的病例中，原发肿瘤位于肠道。8例归因于内分泌肿瘤播散。动脉闭塞需要使用各种惰性物质（如海绵、杜雷米尔）或氰基丙烯酸酯，但在这种情况下排除了化学栓塞。栓塞的止痛效果（成功率72%）和对持续性发热的退热效果（成功率60%）是常见的适应证。分泌性肿瘤的转移确实更少见，但它们无疑是栓塞的主要适应证，因为在不当分泌方面取得了良好效果，而且可能进行重复栓塞是一个极大的优势。栓塞良好的症状性结果必须促使在无法手术但非终末期、药物治疗不再有效或根本无效的病例中考虑采用该方法。
