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E-book

Title Transarterial chemoembolization (TACE) / Pierleone Lucatelli, editor
Published Cham : Springer, 2023

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Description 1 online resource (153 p.)
Contents Intro -- Foreword -- Preface -- Contents -- 1: Rationale, Definition, and History of Transarterial Chemoembolization -- 1.1 From 60 S to Late 70 S: From Diagnostic to Therapeutic Arteriography -- 1.2 From Late 70 S: The Conventional TACE -- 1.3 From the 80 S: Degradable Starch Microsphere TACE -- 1.4 The 90 S-2000: Evidences on TACE -- 1.5 From Early 2000: Drug-Eluting Beads TACE -- 1.6 From 2008 to Nowadays -- References -- 2: Transarterial Chemoembolization (TACE): Indications -- 2.1 Introduction -- 2.2 TACE for Intermediate- Stage HCC -- 2.3 TACE for Non-intermediate-Stage HCC
2.4 TACE for Bridging and Downstaging HCC to LT -- 2.5 TACE for Liver-Dominant Primary Cholangiocellular and Metastatic Disease -- References -- 3: Access and Material -- 3.1 Access -- 3.2 Materials and Technique -- 3.2.1 Novel Anti-Reflux Microcatheters. Pressure-Assisted Embolization -- References -- 4: Preprocedure Workup -- 4.1 Preprocedure Workup -- 4.1.1 Outpatient Examination -- 4.1.1.1 ECOG Performance Status -- 4.1.1.2 Laboratory Test -- 4.1.1.3 Imaging -- 4.1.1.4 Echocardiogram -- 4.1.1.5 Scores for Initial TACE -- 4.2 Periprocedure Workup -- 4.2.1 Medications
4.2.2 Patient Management and Monitoring -- 4.2.3 Expert Nurse Team -- References -- 5: CBCT and Software -- 5.1 CBCT -- 5.1.1 Introduction -- 5.1.2 Technique Principles -- 5.1.3 Patient Preparation -- 5.1.4 Radiation Dose Principle and Concern -- 5.1.5 Application in Transarterial Chemoembolization -- 5.1.5.1 CBCT during Hepatic Artery Injection -- 5.1.5.2 Dual-Phase CBCT -- 5.1.5.3 CBCT without Contrast Media -- 5.1.5.4 CBCT during Portography -- 5.1.5.5 CBCT Perfusion -- 5.1.5.6 Potential Clinical Implication of CBCT -- 5.2 Software Guidance -- 5.2.1 Introduction
5.2.2 Applications -- 5.2.2.1 Conclusion -- References -- 6: Conventional TACE (cTACE) -- 6.1 HCC -- 6.1.1 Conventional TACE in HCC: Technique and Standardised Protocol -- 6.1.1.1 Haemodynamics in the Liver and HCC -- 6.1.1.2 Conventional TACE (cTACE) Protocol -- 6.1.1.3 Chemotherapeutic Agents -- 6.1.1.4 Embolic Agents -- 6.2 Conventional TACE (cTACE) Technique: Superselective TACE -- 6.2.1 Limitation of TACE and Necessity for Curative TACE -- 6.3 Conventional TACE in Intrahepatic Cholangiocarcinoma (ICC) -- 6.3.1 Background -- 6.3.2 Clinical Evidence and Tumour Response
6.3.3 Conventional TACE in Liver Metastases -- 6.3.3.1 From Colorectal Tumours (CRLM) -- 6.3.3.2 From Neuroendocrine Tumours (NETs) -- 6.3.3.3 From Other Types of Tumours -- References -- 7: Drug-Eluting Embolic TACE (DEB-TACE) -- 7.1 TACE with Drug-Eluting Microspheres (DEM-TACE) -- 7.1.1 DEM-TACE in Hepatocellular Carcinoma -- 7.1.1.1 Drugs -- 7.1.1.2 Bead Size -- 7.1.1.3 Procedural Specifications -- 7.1.1.4 Results -- 7.1.1.5 Bland Embolization Versus TACE and Treatment Endpoint -- 7.1.2 DEM-TACE in Other Tumors -- 7.1.2.1 DEM-TACE for Intrahepatic Cholangiocarcinoma
Summary The book thoroughly presents Transarterial Chemoembolization (TACE), a procedure representing the standard of care for several clinical oncological indications. Thanks to the considerable technological advances in the available instrumentation (guidewire, microcatheter, guiding imaging modalities) as well as the different platforms utilized to perform treatment (conventional TACE, drug eluted TACE, degradable starch microsphere TACE) indication for treatment has been broadened and results significantly improved. By clearly depicting the procedure, with technical details, advantages and limitations, the book provides a unique and most updated source on TACE procedures. Clinical cases regarding crucial parts of the procedure are also provided. Expert users as well as novel clinicians interested in the most recent aspects of this interventional radiology procedure will find in this book a valuable tool and guide for their clinical routine
Notes DEM-TACE for Colorectal Cancer Liver Metastases
Online resource; title from PDF title page (SpringerLink, viewed October 24, 2023)
Subject Interventional radiology.
Liver -- Cancer -- Chemotherapy
Therapeutic embolization.
Radiology, Interventional
Embolization, Therapeutic
Interventional radiology
Liver -- Cancer -- Chemotherapy
Therapeutic embolization
Form Electronic book
Author Lucatelli, Pierleone
ISBN 9783031362613
3031362616