Double Balloon-Occluded Transarterial Chemoembolization (Double B-TACE) for Hepatocellular Carcinomas Located in the Caudate Lobe
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To the Editor,
Superselective micro-catheter insertion is necessary for enhancing the therapeutic effect of transcatheter arterial chemoembolization (TACE) for hepatocellular carcinoma (HCC) . However, individual selection of tumor-feeders with micro-catheters can be impossible, especially when the branches are very small or tortuous . Moreover, TACE in the caudate lobe is challenging owing to its location and complex vascular supply [2, 3]. We report a novel double-balloon technique for TACE of difficult-to-treat HCCs supplied by an unselectable artery.
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standard of the institutional and national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.
Informed consent was provided by the patient.
Consent for Publication
Consent for publication was obtained for every individual person’s data included in the study.
- 1.Miyayama S, Matsui O, Yamashiro M, Ryu Y, Kaito K, Ozaki K, et al. Ultraselective transcatheter arterial chemoembolization with a 2-f tip microcatheter for small hepatocellular carcinomas: relationship between local tumor recurrence and visualization of the portal vein with iodized oil. J Vasc Interv Radiol. 2007;18(3):365–76.CrossRefGoogle Scholar