肝癌的介入治疗课件

Transcatheter Arterial ChemoembolizationTranscatheter Arterial Chemoem1 1Hepatocellular carcinoma precise therapyl precise transarterial chemoembolization l ablation：microwave ablation microwave ablation，radio-frequency ablationradio-frequency ablation，laser ablationlaser ablation，High Intensity Focused Ultrasound(HIFU)High Intensity Focused Ultrasound(HIFU)cryo-ablation cryo-ablation ethanol ablation ethanol ablation，acetic acidacetic acid ablationablation radioactive particle radioactive particlel Individual combined therapy principle：Hepatocellular carcinoma preci2 2Background Precise TACEl lTACE-the most mature and effective treatment TACE-the most mature and effective treatment methodsmethods for non-surgical treatment HCC.for non-surgical treatment HCC.l lThe quality of TACE effectThe quality of TACE effect were not only were not only associated associated with the tumor vessels embolization with the tumor vessels embolization but but also also associated with full showingassociated with full showing extrahepatic parasitic extrahepatic parasitic artery and precise TACE.artery and precise TACE.l lOmental artery(OA)-one of rare extrahepatic Omental artery(OA)-one of rare extrahepatic parasitic artery supplying HCC.parasitic artery supplying HCC.Background Precise TACETACE-3 3肝癌的介入治疗课件4 4肝癌的介入治疗课件5 5肝癌的介入治疗课件6 6Abdominal enhanced CT：the edge of the tumor arterial thickening,strongly indicate the presence of parasitic OA blood vessel.Abdominal enhanced CT：the edg7 7Use of microcatheterUse of microcatheterTACEUse of microcatheterTACE8 8Use of microcatheterUse of microcatheterTACEUse of microcatheterTACE9 9Use of micro-catheterfirst TACEUse of micro-catheterfirst TACEUse of micro-catheterfirst TA1010肝癌的介入治疗课件1111肝癌的介入治疗课件1212 Use of micro-catheter Use of micro-catheter2nd2nd TACE-OA branches involved in blood supply-OA branches involved in blood supply-Use of micro-cathete1313Use of microcatheterUse of microcatheterOAs TACEOAs TACEUse of microcatheterOAs TACE1414Use of microcatheterUse of microcatheterKUB KUB after OAs TACEafter OAs TACEUse of microcatheter1515Discussion-5 OA Too Fine OA was too fine,superselective catheterization was failure(black arrow),there gastroduodenal drainage vein in the immediate cessation of embolization(white arrow)Discussion-5 OA Too Fine 1616