Minimally invasive treatment of hepatic hemangioma by transcatheter arterial embolization combined with microwave ablation: A case report

Published on Aug 26, 2021in World Journal of Clinical Cases1.013
· DOI :10.12998/WJCC.V9.I24.7154
Lie-Zhi Wang2
Estimated H-index: 2
(Taizhou University),
Kun-Peng Wang1
Estimated H-index: 1
+ 4 AuthorsYifu Feng1
Estimated H-index: 1
Minimally invasive treatment of hepatic hemangioma by transcatheter arterial embolization combined with microwave ablation: A case report
#1Hesameddin Eghlimi (Shiraz University of Medical Sciences)H-Index: 2
#2Peyman Arasteh (Shiraz University of Medical Sciences)H-Index: 9
Last. Nazanin Azade (Shiraz University of Medical Sciences)
view all 3 authors...
Hepatic hemangioma (HH) is the most common benign tumor of the liver. In special conditions such as rapidly growing tumors, persistent pain, hemorrhage and when pressure effect on adjacent organs exist treatment is indicated. Surgical management is the most common treatment for HH. A 38-year-old male patient was diagnosed with HH for 7 years. The initial presentation of the mass was progressive abdominal distention causing early satiety, gastro-esophageal reflux disease, vomiting, dysphagia and ...
3 CitationsSource
#1Xiaoyin Tang (SJTU: Shanghai Jiao Tong University)H-Index: 9
#2Min Ding (SJTU: Shanghai Jiao Tong University)H-Index: 7
Last. Bo Zhai (SJTU: Shanghai Jiao Tong University)H-Index: 15
view all 10 authors...
AbstractPurpose: Microwave ablation (MWA) has become increasingly popular as a minimally invasive treatment for benign and malignant liver tumors. However, few studies have demonstrated the benefits and disadvantages of MWA compared to surgical resection (SR) for large hepatic hemangiomas. This study aimed to evaluate the safety and effectiveness of MWA compared to SR for large (5–10 cm) hepatic hemangiomas.Methods and materials: This retrospective comparative study included 112 patients with la...
6 CitationsSource
#1Ahmed Ashraf Kamal (Alexandria University)
#2Amr Aly Abd Elmoety (Alexandria University)H-Index: 2
Last. Sameh A. Lashen (Alexandria University)H-Index: 2
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Background: Hepatocellular carcinoma (HCC) is the fifth most common cancer in the world and the third most common cause of cancer related deaths. Radiofrequency ablation (RFA) and microwave ablation (MWA) are effective measures for HCC management. Although MWA is usually considered to be superior to RFA in the medical community, clinical studies showed contradictory results. We aimed to compare the efficacy of both techniques using a randomized controlled trial. Methods: We had assessed all pati...
33 CitationsSource
#1Alicia Furumaya (UvA: University of Amsterdam)H-Index: 1
Last. Thomas M. van Gulik (UvA: University of Amsterdam)H-Index: 79
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Background Transarterial (chemo-)embolization/lipiodolization (TAE/TAL) might be an attractive minimally invasive alternative to surgery in the treatment of symptomatic hepatic haemangioma. This review assesses the efficacy and safety of TAE/TAL as primary treatment for symptomatic hepatic haemangioma.
13 CitationsSource
#1Zhi Wang (SJTU: Shanghai Jiao Tong University)H-Index: 7
#2Xiaoyin Tang (SJTU: Shanghai Jiao Tong University)H-Index: 9
Last. Bo Zhai (SJTU: Shanghai Jiao Tong University)H-Index: 15
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AbstractBackground: Hepatic hemangioma is a common benign liver tumor. The majority of cases are asymptomatic and require no specific treatment. The aim of this study was to evaluate the feasibility, safety and efficacy of microwave ablation (MWA) for symptomatic or enlarging giant hepatic hemangioma (≥10 cm).Methods: From December 2013 to June 2016, 12 patients with giant hepatic hemangioma (≥10 cm) underwent ultrasound-guided percutaneous MWA, and ablation-related complications were observed. ...
7 CitationsSource
#1Naik Vietti Violi (UNIL: University of Lausanne)H-Index: 8
#2Rafael Duran (UNIL: University of Lausanne)H-Index: 23
Last. Alban Denys (UNIL: University of Lausanne)H-Index: 60
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Summary Background Radiofrequency ablation is the recommended treatment for patients with hepatocellular carcinoma who have lesions smaller than 3 cm and are therefore not candidates for surgery. Microwave ablation is a more recent technique with certain theoretical advantages that have not yet been confirmed clinically. We aimed to compare the efficacy of both techniques in the treatment of hepatocellular carcinoma lesions of 4 cm or smaller. Methods We did a randomised controlled, single-blind...
94 CitationsSource
#1L. Thornton (UF: University of Florida)H-Index: 3
#2Roniel Cabrera (UF: University of Florida)H-Index: 25
Last. Beau B. Toskich (UF: University of Florida)H-Index: 4
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Aim To retrospectively compare the initial response, local recurrence, and complication rates of radiofrequency ablation (RFA) vs microwave ablation (MWA) when combined with neoadjuvant bland transarterial embolization (TAE) or drug-eluting microsphere chemoembolization (TACE) for the treatment of hepatocellular carcinoma (HCC). Methods A total of 35 subjects with Barcelona Clinic Liver Cancer (BCLC) very early and early-stage HCC (range: 1.2-4.1cm) underwent TAE (23) or TACE (12) with RFA (15) ...
11 CitationsSource
#1Aukje A. J. M. van Tilborg (VUmc: VU University Medical Center)H-Index: 14
#2Helena F. Dresselaars (VUmc: VU University Medical Center)H-Index: 1
Last. Martijn R. Meijerink (VUmc: VU University Medical Center)H-Index: 29
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Objective In patients that require treatment for hepatic giant cavernous hemangiomas (GCH), radiofrequency ablation (RFA) has been suggested to represent a safe and effective alternative to invasive surgery. In a recent report of bipolar RFA, using two expandable needle electrodes, was uneventfully performed in patients with large GCH (>10 cm). The objective of this report is to present two cases in which bipolar RFA of symptomatic GCH was complicated by acute kidney injury.
16 CitationsSource
#1Theodora A. Potretzke (UW: University of Wisconsin-Madison)H-Index: 4
#2Timothy J. Ziemlewicz (UW: University of Wisconsin-Madison)H-Index: 23
Last. Fred T. Lee (UW: University of Wisconsin-Madison)H-Index: 59
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Abstract Purpose To compare efficacy and major complication rates of radiofrequency (RF) and microwave (MW) ablation for treatment of hepatocellular carcinoma (HCC). Materials and Methods This retrospective single-center study included 69 tumors in 55 patients treated by RF ablation and 136 tumors in 99 patients treated by MW ablation between 2001 and 2013. RF and MW ablation devices included straight 17-gauge applicators. Overall survival and rates of local tumor progression (LTP) were evaluate...
54 CitationsSource
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