Anatomy of hepartic artery on DSA images for treatment HCC by TACE

Dao Danh Vinh1, Pham Minh Thong1,
1 Bach Mai hospital

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Abstract

SUMMARY


Hepatocellular carcinoma (HCC) is the most common malignant tumor of the liver. This is a leading cause of morbidity and mortality, ranking fi fth for men and eighth for women as a source of primary malignancy. The highest incidences of HCC are found in sub Saharan Africa and Eastern Asia, Southeastern Asia with incidence rates of 17.43 and 6.77 per 100,000 in men and women of developing countries compared with 8.71 and 2.86 per 100,000 in men and women of developed regions of the world [2],[6]. Although several therapeutic options have been advocated in international lectures, transcatheter arterial chemoembolization (TACE) in particular has been widely performed in the treatment of advantage HCC (nonsurgical patients). Otherwise in surgicalable patients, TACE has important role in presurgical stage. One of the most important factors which affect to TACE results is detection of tumor feeding arteries and nontarget arteries (supply the normal organs). Then, considerations of anatomy and variants of hepatica arterial system on (digital subtraction angiography) DSA images are very important in improvement of TACE effective and avoid complications.

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References

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