肝细胞癌合并肝动脉肝静脉分流的栓塞治疗

Embolization of hepatocellular carcinoma companied by hepatic arterio venous shunts

目的 探讨肝细胞癌 (HCC)伴肝动脉 肝静脉分流 (AHVS)者的栓塞治疗的可行性与安全性。方法 对 11例HCC伴AHVS的患者进行介入栓塞治疗 16次。对肿瘤各支供血动脉分别超选择造影 ,对有AHVS的分支首先以明胶海绵碎块栓塞 ,AHVS消失后再以碘油栓塞。结果 造影有明确AHVS者 9例 ,均成功栓塞 ;2例AHVS在造影时未发现。治疗后部分缓解 3例 ,轻微反应 4例 ,无变化 4例。栓塞后无肺部并发症。结论 HCC伴AHVS不是栓塞的绝对禁忌证 。

Objective To determine the feasibility and safety of embolization therapy in HCC accompanied by hepatic arterio venous shunts(AHVS). Methods 16 embolizations were performed in 11 patients. Angiography was done by superselective catheterization to all the feeding arteries of the tumor. Each shunt was blocked with gelfoam at first, followed by iodine oil. Results Marked AHVS was found in 9 patients all successfully embolized, no marked AHVS in 2 patients on angiography. Partial relief in 3 cases, minor reaction in 4 cases and no change in 4 cases. No respiratory system complication. Conclusion Embolization of HCC with AHVS is not an absolute contraindication . It is technically feasible and is safe to the patients.