干旱区生态环境知识资源中心(Arid): Guidewire-catheter induced hydrodissection to assist radiofrequency ablation for subcapsular hepatocellular carcinoma with iodized oil retention in patients with failed artificial ascites due to perihepatic adhesion

Arid

DOI	10.5152/dir.2021.21056
	Guidewire-catheter induced hydrodissection to assist radiofrequency ablation for subcapsular hepatocellular carcinoma with iodized oil retention in patients with failed artificial ascites due to perihepatic adhesion
	Shin, Sung Wook; Cho, Sung Ki; Hyun, Dongho; Park, Kwang Bo; Park, Hong Suk; Do, Young Soo
通讯作者	Cho, SK (corresponding author), Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol, Seoul, South Korea.
来源期刊	DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY
EISSN	1305-3612
出版年	2021
卷号	27 期号:6 页码:746-753
英文摘要	PURPOSE We aimed to evaluate the usefulness of guidewire-catheter induced hydrodissection (GIH) to assist radiofrequency ablation (RFA) for subcapsular hepatocellular carcinoma (HCC) with iodized oil retention in patients with failed artificial ascites due to perihepatic adhesion. METHODS This retrospective study included 17 patients with small subcapsular HCC ineligible for ultrasonography-guided RFA who received RFA under guidance of fluoroscopy and cone-beam computed tomography immediately after iodized oil transarterial chernoembolization (TACE) tween April 2011 and January 2016. In the study patients, creation of artificial ascites to protect the perihepatic structures failed due to perihepatic adhesion and GIH was attempted to separate the perihepatic structures from the ablation zone. The technical success rate of GIH, technique efficacy of RFA with GIH, local tumor progression (LTP), peritoneal seeding, and complications were evaluated. RESULTS The technical success rate of GIH was 88.24%(15 of 17 patients). Technique efficacy was achieved in all 15 patients receiving RFA with GIH. During an average follow-up period of 48.1 months, LTP developed in three patients. Curnulative LTP rates at 1, 2, 3, and 5 years were 13.3%, 20.6%, 20.6%, arid 20.6%, respectively. No patient had peritoneal seeding.Two of the 15 patients receiving RFA with GIH had a CIRSE grade 3 liver abscess, but none had complications associated with thermal injury to the diaphragm or abdominal wall near the ablation zone. CONCLUSION GIH can be a useful method to assist RFA for subcapsular HCC with iodized oil retention in patients with failed artificial ascites due to perihepatic adhesion.
类型	Article
语种	英语
开放获取类型	Green Published
收录类别	SCI-E
WOS记录号	WOS:000721235900008
WOS关键词	TRANSARTERIAL CHEMOEMBOLIZATION ; COMBINED THERAPY ; LIVER-CANCER ; MANAGEMENT ; DIAPHRAGM ; CM
WOS类目	Radiology, Nuclear Medicine & Medical Imaging
WOS研究方向	Radiology, Nuclear Medicine & Medical Imaging
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/373808
作者单位	[Cho, Sung Ki] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol, Seoul, South Korea; Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Ctr Imaging Sci, Seoul, South Korea
推荐引用方式 GB/T 7714	Shin, Sung Wook,Cho, Sung Ki,Hyun, Dongho,et al. Guidewire-catheter induced hydrodissection to assist radiofrequency ablation for subcapsular hepatocellular carcinoma with iodized oil retention in patients with failed artificial ascites due to perihepatic adhesion[J],2021,27(6):746-753.
APA	Shin, Sung Wook,Cho, Sung Ki,Hyun, Dongho,Park, Kwang Bo,Park, Hong Suk,&Do, Young Soo.(2021).Guidewire-catheter induced hydrodissection to assist radiofrequency ablation for subcapsular hepatocellular carcinoma with iodized oil retention in patients with failed artificial ascites due to perihepatic adhesion.DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY,27(6),746-753.
MLA	Shin, Sung Wook,et al."Guidewire-catheter induced hydrodissection to assist radiofrequency ablation for subcapsular hepatocellular carcinoma with iodized oil retention in patients with failed artificial ascites due to perihepatic adhesion".DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY 27.6(2021):746-753.