Complications of intra-arterial regional liver therapy Book Section


Authors: Spolverato, G.; Deipolyi, A. R.; D’Angelica, M.
Editors: Fong, Y.; Gamblin, T. C.; Han, E. S.; Lee, B.; Zager, J. S.
Article/Chapter Title: Complications of intra-arterial regional liver therapy
Abstract: Multiple complications have been described after or during intra-arterial regional liver treatments. These complications are caused either by the angiographic/surgical procedure itself (i.e., arterial thrombosis), by the embolic/infusion effect (i.e., post-embolization syndrome and chemical hepatitis), by nontarget embolization/infusion to normal liver parenchyma (i.e., radioembolization-induced liver disease and biliary sclerosis), by nontarget embolization/infusionto extrahepatic sites (i.e., gastroduodenal ulceration), and by device malfunction in the case of intra-arterial infusion pump. The most common complications resulting from transarterial chemoembolization (TACE) and transarterial embolization (TAE) are post-embolization syndrome, arterial injuries, nontarget embolization, biliary ischemia and bilomas, and liver abscesses. Radioembolization is also associated with nontarget embolization and post-embolization syndrome, and withradiation-specific complications, such as radioembolization-induced liver disease (REILD) and radiation pneumonitis. Finally, hepatic artery infusion (HAI) treatments may be complicated by gastroduodenal toxicity, chemical hepatitis, biliary sclerosis, and pump/catheter malfunction. © Springer Nature Switzerland AG 2020. All rights reserved.
Keywords: transarterial chemoembolization; transarterial embolization; hepatic artery infusion chemotherapy; intra-arterial regional liver therapy
Book Title: Cancer Regional Therapy: HAI, HIPEC, HILP, ILI, PIPAC and Beyond
ISBN: 978-3-030-28890-7
Publisher: Springer Nature Switzerland Ag  
Publication Place: Cham, Switzerland
Date Published: 2020-01-01
Start Page: 341
End Page: 353
Language: English
DOI: 10.1007/978-3-030-28891-4_28
PROVIDER: scopus
DOI/URL:
Notes: Book Chapter: 28 -- Export Date: 3 August 2020 -- Source: Scopus
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