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Updated: May 13, 2026

Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
Published on: September 20, 2020
Prophylactic topically applied ice to prevent cutaneous complications of nontarget chemoembolization and
David S Wang1, John D Louie, Nishita Kothary
1Division of Interventional Radiology, Department of Radiology, Stanford University Medical Center, 300 Pasteur Drive, H3630, Stanford, CA 94305-5642, USA. dwang@stanfordmed.org
Abstract:
Cutaneous complications can result from nontarget deposition during transcatheter arterial chemoembolization or radioembolization. Liver tumors may receive blood supply from parasitized extrahepatic arteries (EHAs) that also perfuse skin or from hepatic arteries located near the origin of the falciform artery (FA), which perfuses the anterior abdominal wall. To vasoconstrict cutaneous vasculature and prevent nontarget deposition, ice packs were topically applied to at-risk skin in nine chemoembolization treatments performed via 14 parasitized EHAs, seven chemoembolization treatments near the FA origin, and five radioembolization treatments in cases in which the FA could not be prophylactically coil-embolized. No postprocedural cutaneous complications were encountered.
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