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Date Published: 08/07/2022
Online Published: 08/07/2022
Abstract Views: 89
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DOI: https://doi.org/10.55046/vjrnm.31.541.2018
Issue
No. 31 (2018)
Section
Scientific research
How to Cite
Tran, V. H., Vu, H. L., & Le, T. D. (2022). Evaluate the imaging characteristics of ruptured hepatocellular carcinoma and the effectiveness of embolization for controlling hemorrhage. Vietnamese Journal of Radiology and Nuclear Medicine, 31, 61-66. https://doi.org/10.55046/vjrnm.31.541.2018

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

Dr Tran Viet Hung1, Dr Vu Hoài Linh1, Dr Le Thanh Dung1
1 Huu Nghi hospital Vietnamese Germany

Main Article Content

Abstract

Objecivets: Evaluate the imaging characteristics of hepatocellular carcinoma (HCC) ruptured and the effectiveness of transcatheter arterial embolization for controlling hemorrhage.


Subjects and 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 18/22 patients (81.8%), histoacryl 4/22 (18.2%). The success rate of embolization in on angiography is 22/22 (100%).1 patient die in one months after the procedure due to liver failure.
Conclusion: Large tumors are likely to rupture and active bleeding injuries are uncommon. Transarterial embolization is a safe
and effective method for controlling spontaneous rupture of HCC.

Article Details

Keywords

angiography, embolization, hepatocellular carcinoma, large tumors spontaneous rupture

References

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