Balloon-occluded transarterial chemoembolization using a 1.8-French tip Coaxial microballoon catheter for hepatocellular carcinoma: Technical and safety considerations

Tomohiro Matsumoto, Jun Endo, Kazunobu Hashida, Hitoshi Ichikawa, Seiichiro Kojima, Shinji Takashimizu, Norihito Watanabe, Takuji Yamagami, Terumitsu Hasebe

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Objective: To evaluate the technical feasibility and safety considerations of balloon-occluded transarterial chemoembolization (B-TACE) using a newly developed 1.8-French (Fr) tip microballoon catheter for hepatocellular carcinoma (HCC). Material and methods: Between February 2013 and May 2013, 31 patients (20 males, 11 females; age range 56-85 years) underwent B-TACE using a 1.8-Fr tip microballoon catheter for unresectable HCC. The technical success rate, procedural complications, and adverse events of B-TACE were retrospectively investigated. Results: A total of 31 patients were subjected to 70 sessions of B-TACE using a 1.8-Fr tip microballoon catheter. The level of B-TACE was sub-subsegmental in 11, subsegmental in 35, segmental in 14, lobar in five, and right inferior phrenic artery in five sessions. The overall technical success rate was 99% (69 out of 70 sessions). As procedural complications, rupturing of the microballoon (n = 3) and aneurysmal dilatation at the site of balloon occlusion (n = 2) were encountered. There were no significant differences in any parameters between blood biochemical examination before and between two to four weeks after the procedure. Conclusion: A 1.8-Fr tip microballoon catheter enables selective catheterization in patients with HCC and B-TACE using the 1.8-Fr tip microballoon catheter is a safe procedure.

Original languageEnglish
Pages (from-to)94-100
Number of pages7
JournalMinimally Invasive Therapy and Allied Technologies
Volume24
Issue number2
DOIs
Publication statusPublished - 2015 Apr 1

Keywords

  • Balloon-occluded transarterial chemoembolization
  • Catheter interventions
  • Hepatocellular carcinoma
  • Interventional radiology
  • Microballoon catheter
  • Minimally invasive procedures

ASJC Scopus subject areas

  • Surgery

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