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[Hepatic arterial embolisation. 35 cases (author's transl)].

A Roche, D Doyon, G Harry

    La Nouvelle Presse Medicale
    |February 25, 1978
    PubMed
    Summary

    Hepatic arterial embolisation offers significant pain relief for liver tumors, improving survival quality. This interventional radiology technique requires strict adherence to contraindications like portal thrombosis or hepatic failure to ensure patient safety.

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    Area of Science:

    • Interventional Radiology
    • Vascular Surgery
    • Oncology

    Context:

    • Hepatic arterial embolisation (HAE) is an established procedure for managing various liver conditions.
    • Malignant liver tumors often present with significant pain, impacting patient quality of life.
    • Previous management strategies like surgical disarterialisation have limitations.

    Purpose:

    • To evaluate the efficacy and safety of hepatic arterial embolisation in managing liver tumors and vascular lesions.
    • To assess the analgesic effects of HAE in patients with malignant hepatic tumors.
    • To determine the role of HAE as a replacement for surgical disarterialisation.

    Summary:

    • Thirty-five cases of HAE were analyzed, demonstrating an 80% analgesic effect in 27 patients with malignant tumors.

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  • The procedure was also successful in embolizing two cavernous hemangiomas, one angioma with arterioportal fistula, and five traumatic vascular lesions.
  • Two fatal complications highlighted the critical importance of contraindications, including portal thrombosis and hepatic failure.

    • Impact:

    • HAE can replace surgical disarterialisation for malignant liver tumors, improving survival quality, especially in hypervascularized cases.
    • The technique offers a viable treatment option for complex vascular lesions and traumatic hepatic injuries.
    • Strict adherence to contraindications is essential for minimizing HAE-related morbidity and mortality.