Article Sidebar

PDF
Date Published: 11/07/2022
Online Published: 11/07/2022
Abstract Views: 58
Views PDF: 117
DOI: https://doi.org/10.55046/vjrnm.28.486.2017
Issue
No. 28 (2017)
Section
Scientific research
How to Cite
Le, T. D., Tran, V. H., & Vu, H. L. (2022). Evaluate the imaging characteristics of ruptured hepatocellular carcinoma and the effectiveness of embolization for controlling hemorrhage. Vietnamese Journal of Radiology and Nuclear Medicine, 28, 58-63. https://doi.org/10.55046/vjrnm.28.486.2017

Evaluate the imaging characteristics of ruptured hepatocellular carcinoma and the effectiveness of embolization for controlling hemorrhage

Le Thanh Dung1, Tran Viet Hung1, Vu Hoai Linh1,
1 Diagnostic Imaging Department of Viet Duc Hospital

Main Article Content

Abstract

Objects: Evaluate the effectivenes of transcatheter arterial
embolization for controlling arterial hemorrhage due to spontaneous
ruptured hepatocellular carcinoma (HCC).
Methods: analyze retrospectively the outcomes of 22 patients
who underwent abdominal CTscanner and urgent transarterial
embolization for spontaneous ruptured HCC during the period
from 01/2014 to 06/2016 in Viet Duc hospital.
Results: Mean tumor size: 83.95mm (longest diameter). 7/22
patients (31.8%) exhibited contrast extravasation on angiography,
2/22 patients (9.1%) exhibited pseudoaneurysm, one patient
(4.6%) showed arterioportal shunt, 12/22 (54.5%) showed no
vascular injury. The embolization materials we used mostly was
Spongel in 19/22 patients (86.4%), histoacryl 3/22 (14.6%). The
success rate of embolization on angiography is 22/22. The average
volume of blood tranfusion was 969ml. 1 patient die in one months
after the procedure due to liver failure. 6/9 (66.7%) patients with
thrombosis of portal vein die in less than 6 months after procedure.
Conclusion: Transarterial embolization is a safe and effective
method for controlling spontaneous rupture of HCC.

Article Details

Keywords

angiography, embolization, hepatocellular carcinoma, spontaneous rupture

References

TÀI LIỆU THAM KHẢO
1. B. Davidson, R. Carratta, F. Paccione et al. (1991), “Surgical emergencies in liver disease”, Baillieres Clin
Gastroenterol, 5(4), tr. 737-58.
2. M. P. Fernandez andR. D. Redvanly (1998), “Primary hepatic malignant neoplasms”, Radiol Clin North Am, 36(2), tr. 333-48.
3. E. C. Lai andW. Y. Lau (2006), “Spontaneous rupture of hepatocellular carcinoma: a systematic review”, Arch Surg, 141(2), tr. 191-8.
4. C. T. Kung, B. M. Liu, S. H. Ng et al. (2008), “Transcatheter arterial embolization in the emergency department for hemodynamic instability due to ruptured hepatocellular carcinoma: analysis of 167 cases”, AJR Am J Roentgenol, 191(6), tr. W231-9.
5. M. Miyamoto, T. Sudo andT. Kuyama (1991), “Spontaneous rupture of hepatocellular carcinoma: a review of 172 Japanese cases”, Am J Gastroenterol, 86(1), tr. 67-71.
6. H. Ngan, W. K. Tso, C. L. Lai et al. (1998), “The role of hepatic arterial embolization in the treatment of
spontaneous rupture of hepatocellular carcinoma”, Clin Radiol, 53(5), tr. 338-41.
7. Y. Yang, H. Cheng, A. Xu et al. (2002), “[Transarterial embolization for hemorrhage due to spontaneous rupture
in hepatocellular carcinoma]”, Zhonghua Zhong Liu Za Zhi, 24(3), tr. 285-7.
8. M. Okazaki, H. Higashihara, F. Koganemaru et al. (1991), “Intraperitoneal hemorrhage from hepatocellular carcinoma: emergency chemoembolization or embolization”, Radiology, 180(3), tr. 647-51.
9. H. Yoshida, Y. Mamada, N. Taniai et al. (2016), “Spontaneous ruptured hepatocellular carcinoma”, Hepatol Res, 46(1), tr. 13-21.
10. A. Tanaka, R. Takeda, S. Mukaihara et al. (2001), “Treatment of ruptured hepatocellular carcinoma”, Int J Clin
Oncol, 6(6), tr. 291-5.