Year 2025 / Volume 117 / Number 10
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Extrahepatic ischemic complications following transarterial chemoembolization for hepatocellular carcinoma

581-583

DOI: 10.17235/reed.2024.10067/2023

Carlos Alventosa Mateu, Laura García Llabata, Brian Herráez Cervera, Juan José Urquijo Ponce,

Abstract
Transarterial chemoembolization of hepatocellular carcinoma consists of the selective release of chemotherapeutic agents in the tumor feeding arteries (and their subsequent occlusion) and presents a low risk of extrahepatic complications. However, the presence of anatomical variants of the celiac trunk is common and facilitates these complications by connecting the hepatic arterial vascularization with that of the surrounding organs. We present three clinical cases of extrahepatic ischemia in three different organs (esophagus, stomach and gallbladder) following transarterial chemoembolization in patients who presented one of these anatomical variants.
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References
1. Reig M, Forner A, Rimola J, et al. BCL strategy for prognosis prediction and treatment recommendation: the 2022 update. J. Hepatol. 2022; 76(3): 681-93.
2. Saiz-Mendiguren R, Ferrer MI, Vázquez JM, et al. Variantes según la clasificación de Michels y ramas extrahepáticas. Revisión del tema y descripción de hallazgos angiográficos en 99 pacientes tratados con quimioembolización. Intervencionismo. 2017; 17(2): 60-69.
3. Kim SI, Yin Y-H, Cho SG, et al. Duodenal perforation and esophageal ischemia following transarterial chemoembolization for hepatocellular carcinoma. Medicine. 2016; 95(27): p e3987.
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Alventosa Mateu C, García Llabata L, Herráez Cervera B, Urquijo Ponce J. Extrahepatic ischemic complications following transarterial chemoembolization for hepatocellular carcinoma. 10067/2023


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Publication history

Received: 06/11/2023

Accepted: 15/11/2023

Online First: 11/01/2024

Published: 10/10/2025

Article Online First time: 66 days

Article editing time: 704 days


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