Balloon-occluded chemoembolization for hepatocellular carcinoma: a prospective study of safety, feasibility and outcomes

Aim: Evaluation of safety and efficacy of selective balloon-occluded transarterial chemoembolization using polyethylene glycol embolizing microspheres in patients with hepatocellular carcinoma. Materials & methods: Twenty-four consecutive patients were included in this monocentric prospective tr...

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Main Authors: Ana-Maria Bucalau, Illario Tancredi, Martina Pezzullo, Raphael Leveque, Simona Picchia, Jean-Luc Van Laethem, Gontran Verset
Format: Article
Language:English
Published: Taylor & Francis 2021-03-01
Series:Hepatic Oncology
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Online Access:https://www.futuremedicine.com/doi/10.2217/hep-2020-0022
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author Ana-Maria Bucalau
Illario Tancredi
Martina Pezzullo
Raphael Leveque
Simona Picchia
Jean-Luc Van Laethem
Gontran Verset
author_facet Ana-Maria Bucalau
Illario Tancredi
Martina Pezzullo
Raphael Leveque
Simona Picchia
Jean-Luc Van Laethem
Gontran Verset
author_sort Ana-Maria Bucalau
collection DOAJ
description Aim: Evaluation of safety and efficacy of selective balloon-occluded transarterial chemoembolization using polyethylene glycol embolizing microspheres in patients with hepatocellular carcinoma. Materials & methods: Twenty-four consecutive patients were included in this monocentric prospective trial. Adverse events were evaluated at 24 h and 1 month. Imaging response according to modified response evaluation criteria in solid tumors was assessed at 1, 3 and 6 months. Results: The median time of follow-up was of 22.8 months (interquartile range (IQR) 17.38–26.22). Clinical grade 1/2 toxicities (0% >grade 2) were reported in 25.7% of patients, with abdominal pain being the most frequent complication (17.1%). No 30-days mortalities or liver decompensation were observed. The 1-month follow-up MRI showed an overall response rate of 74.3% Conclusion: Balloon-occluded transarterial chemoembolization was shown to be safe and effective.
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publishDate 2021-03-01
publisher Taylor & Francis
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series Hepatic Oncology
spelling doaj-art-cc5e2422b1e046df9d3480f3e97b58692025-08-20T02:25:51ZengTaylor & FrancisHepatic Oncology2045-09232045-09312021-03-018110.2217/hep-2020-0022Balloon-occluded chemoembolization for hepatocellular carcinoma: a prospective study of safety, feasibility and outcomesAna-Maria Bucalau0Illario Tancredi1Martina Pezzullo2Raphael Leveque3Simona Picchia4Jean-Luc Van Laethem5Gontran Verset61Department of Gastroenterology, Hepatopancreatology & Digestive Oncology, Hôpital ERASME, Université libre de Bruxelles (ULB), Brussels, Belgium2Department of Interventional Radiology, Hôpital ERASME, Brussels, Belgium3Department of Radiology, Hôpital ERASME, Brussels, Belgium2Department of Interventional Radiology, Hôpital ERASME, Brussels, Belgium4Department of Radiology, Bordet Institute, Brussels, Belgium1Department of Gastroenterology, Hepatopancreatology & Digestive Oncology, Hôpital ERASME, Université libre de Bruxelles (ULB), Brussels, Belgium1Department of Gastroenterology, Hepatopancreatology & Digestive Oncology, Hôpital ERASME, Université libre de Bruxelles (ULB), Brussels, BelgiumAim: Evaluation of safety and efficacy of selective balloon-occluded transarterial chemoembolization using polyethylene glycol embolizing microspheres in patients with hepatocellular carcinoma. Materials & methods: Twenty-four consecutive patients were included in this monocentric prospective trial. Adverse events were evaluated at 24 h and 1 month. Imaging response according to modified response evaluation criteria in solid tumors was assessed at 1, 3 and 6 months. Results: The median time of follow-up was of 22.8 months (interquartile range (IQR) 17.38–26.22). Clinical grade 1/2 toxicities (0% >grade 2) were reported in 25.7% of patients, with abdominal pain being the most frequent complication (17.1%). No 30-days mortalities or liver decompensation were observed. The 1-month follow-up MRI showed an overall response rate of 74.3% Conclusion: Balloon-occluded transarterial chemoembolization was shown to be safe and effective.https://www.futuremedicine.com/doi/10.2217/hep-2020-0022balloon-occluded transarterial chemoembolization using drug-eluting microsphereshepatocellular carcinomapolyethylene glycol embolizing microspherestranscatheter arterial chemoembolization
spellingShingle Ana-Maria Bucalau
Illario Tancredi
Martina Pezzullo
Raphael Leveque
Simona Picchia
Jean-Luc Van Laethem
Gontran Verset
Balloon-occluded chemoembolization for hepatocellular carcinoma: a prospective study of safety, feasibility and outcomes
Hepatic Oncology
balloon-occluded transarterial chemoembolization using drug-eluting microspheres
hepatocellular carcinoma
polyethylene glycol embolizing microspheres
transcatheter arterial chemoembolization
title Balloon-occluded chemoembolization for hepatocellular carcinoma: a prospective study of safety, feasibility and outcomes
title_full Balloon-occluded chemoembolization for hepatocellular carcinoma: a prospective study of safety, feasibility and outcomes
title_fullStr Balloon-occluded chemoembolization for hepatocellular carcinoma: a prospective study of safety, feasibility and outcomes
title_full_unstemmed Balloon-occluded chemoembolization for hepatocellular carcinoma: a prospective study of safety, feasibility and outcomes
title_short Balloon-occluded chemoembolization for hepatocellular carcinoma: a prospective study of safety, feasibility and outcomes
title_sort balloon occluded chemoembolization for hepatocellular carcinoma a prospective study of safety feasibility and outcomes
topic balloon-occluded transarterial chemoembolization using drug-eluting microspheres
hepatocellular carcinoma
polyethylene glycol embolizing microspheres
transcatheter arterial chemoembolization
url https://www.futuremedicine.com/doi/10.2217/hep-2020-0022
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