[Treatment of hepatic neoplasms through extrahepatic collaterals after hepatic artery embolization]

Twenty patients with liver malignant tumors who were treated by hepatic artery occlusion previously, were treated with additional hepatic infusion or embolization though extrahepatic collaterals. Twenty eight courses of hepatic infusion were performed in 14 patients through the right phrenic artery, collaterals of the proper hepatic artery, collaterals of the superior mesenteric and the pancreaticoduodenal arcades, collaterals of the celiac artery, gastroduodenal artery and left gastric artery. Nine hepatic embolization procedures were performed in 5 patients through the right phrenic artery, collaterals of the proper hepatic artery, gastroduodenal artery and collaterals of right renal artery. No complication related to the treatment procedures occurred in this group. The 1-year and 2-year survival rates were 60% and 10%, respectively.