Quantitative literature analysis on efficacy and safety of balloon-occluded transarterial chemoembolization for hepatocellular carcinoma

Abstract Aim To analyze the efficacy and safety of balloon-occluded transarterial chemoembolization (B-TACE) of hepatocellular carcinoma (HCC). Methods We searched English databases, assessed the quality of the selected studies, analyzed the extracted data, tested heterogeneity of data, explored the...

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Main Authors: Wei Fan Sui, Yu Xin Duan, Ze Feng Cai, Jian Yun Li, Jian Hua Fu
Format: Article
Language:English
Published: BMC 2025-06-01
Series:BMC Gastroenterology
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Online Access:https://doi.org/10.1186/s12876-025-03851-w
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author Wei Fan Sui
Yu Xin Duan
Ze Feng Cai
Jian Yun Li
Jian Hua Fu
author_facet Wei Fan Sui
Yu Xin Duan
Ze Feng Cai
Jian Yun Li
Jian Hua Fu
author_sort Wei Fan Sui
collection DOAJ
description Abstract Aim To analyze the efficacy and safety of balloon-occluded transarterial chemoembolization (B-TACE) of hepatocellular carcinoma (HCC). Methods We searched English databases, assessed the quality of the selected studies, analyzed the extracted data, tested heterogeneity of data, explored the resources of heterogeneity, and tested publication bias. Results After inclusion and exclusion criterion, totally 7 studies included in our analysis. The numbers of complete response (CR) in B-TACE were significantly more than in Non B-TACE (P = 0.003). There were no significant difference in partial response (PR), stable disease (SD) and progressive disease (PD) between B-TACE and Non B-TACE. Moderate heterogeneity existed in CR and PR (I2 = 60%). Low heterogeneity existed in SD (I2 = 36%). Heterogeneity did not exist in PD (I2 = 0%). The numbers of treatment effect (TE) 4–1 in B-TACE were significantly more than in Non B-TACE, respectively (P = 0.000007, P < 0.00001). Heterogeneity did not exist in TE4 (I2 = 0%). Low heterogeneity existed in T3 - 1 (I2 = 48%). The numbers of post embolization syndrome(PES) in B-TACE were significantly more than in Non B-TACE, respectively(P = 0.000007, P < 0.00001). There were no significant difference in adverse events (AEs) of grade 3 and 2 between B-TACE and Non B-TACE, respectively(P = 0.57, 0.12). High heterogeneity existed in PES (I2 = 76%). Moderate heterogeneity existed in AEs of grade 2(I2 = 57%). Heterogeneity did not exist in AEs of grade 3(I2 = 0%). Conclusion B-TACE was safe. It showed promising efficacy in achieving higher CR rates in short term compared to Non B-TACE.
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spelling doaj-art-12f5564aa4b54c93b945c2dec17f4bcf2025-08-20T03:10:36ZengBMCBMC Gastroenterology1471-230X2025-06-012511910.1186/s12876-025-03851-wQuantitative literature analysis on efficacy and safety of balloon-occluded transarterial chemoembolization for hepatocellular carcinomaWei Fan Sui0Yu Xin Duan1Ze Feng Cai2Jian Yun Li3Jian Hua Fu4Department of Interventional Radiology, Zhenjiang First People’s HospitalDepartment of Interventional Radiology, Zhenjiang First People’s HospitalDepartment of Interventional Radiology, Zhenjiang First People’s HospitalDepartment of Interventional Radiology, Zhenjiang First People’s HospitalDepartment of Interventional Radiology, Zhenjiang First People’s HospitalAbstract Aim To analyze the efficacy and safety of balloon-occluded transarterial chemoembolization (B-TACE) of hepatocellular carcinoma (HCC). Methods We searched English databases, assessed the quality of the selected studies, analyzed the extracted data, tested heterogeneity of data, explored the resources of heterogeneity, and tested publication bias. Results After inclusion and exclusion criterion, totally 7 studies included in our analysis. The numbers of complete response (CR) in B-TACE were significantly more than in Non B-TACE (P = 0.003). There were no significant difference in partial response (PR), stable disease (SD) and progressive disease (PD) between B-TACE and Non B-TACE. Moderate heterogeneity existed in CR and PR (I2 = 60%). Low heterogeneity existed in SD (I2 = 36%). Heterogeneity did not exist in PD (I2 = 0%). The numbers of treatment effect (TE) 4–1 in B-TACE were significantly more than in Non B-TACE, respectively (P = 0.000007, P < 0.00001). Heterogeneity did not exist in TE4 (I2 = 0%). Low heterogeneity existed in T3 - 1 (I2 = 48%). The numbers of post embolization syndrome(PES) in B-TACE were significantly more than in Non B-TACE, respectively(P = 0.000007, P < 0.00001). There were no significant difference in adverse events (AEs) of grade 3 and 2 between B-TACE and Non B-TACE, respectively(P = 0.57, 0.12). High heterogeneity existed in PES (I2 = 76%). Moderate heterogeneity existed in AEs of grade 2(I2 = 57%). Heterogeneity did not exist in AEs of grade 3(I2 = 0%). Conclusion B-TACE was safe. It showed promising efficacy in achieving higher CR rates in short term compared to Non B-TACE.https://doi.org/10.1186/s12876-025-03851-wBalloon-occluded transarterial chemoembolizationHepatocellular carcinomaQuantitative literature analysis
spellingShingle Wei Fan Sui
Yu Xin Duan
Ze Feng Cai
Jian Yun Li
Jian Hua Fu
Quantitative literature analysis on efficacy and safety of balloon-occluded transarterial chemoembolization for hepatocellular carcinoma
BMC Gastroenterology
Balloon-occluded transarterial chemoembolization
Hepatocellular carcinoma
Quantitative literature analysis
title Quantitative literature analysis on efficacy and safety of balloon-occluded transarterial chemoembolization for hepatocellular carcinoma
title_full Quantitative literature analysis on efficacy and safety of balloon-occluded transarterial chemoembolization for hepatocellular carcinoma
title_fullStr Quantitative literature analysis on efficacy and safety of balloon-occluded transarterial chemoembolization for hepatocellular carcinoma
title_full_unstemmed Quantitative literature analysis on efficacy and safety of balloon-occluded transarterial chemoembolization for hepatocellular carcinoma
title_short Quantitative literature analysis on efficacy and safety of balloon-occluded transarterial chemoembolization for hepatocellular carcinoma
title_sort quantitative literature analysis on efficacy and safety of balloon occluded transarterial chemoembolization for hepatocellular carcinoma
topic Balloon-occluded transarterial chemoembolization
Hepatocellular carcinoma
Quantitative literature analysis
url https://doi.org/10.1186/s12876-025-03851-w
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