Selective Arterial Embolization of Ruptured Hepatocellular Carcinoma with N-Butyl Cyanoacrylate and Lipiodol: Safety, Efficacy, and Short-Term Outcomes.
- Resource Type
- Article
- Authors
- Cali, Jory; Chevallier, Olivier; Guillen, Kévin; Latournerie, Marianne; Mazit, Amin; Aho-Glélé, Ludwig Serge; Loffroy, Romaric
- Source
- Journal of Personalized Medicine. Nov2023, Vol. 13 Issue 11, p1581. 15p.
- Subject
- *CHEMOEMBOLIZATION
*THERAPEUTIC embolization
*HEPATOCELLULAR carcinoma
*LIVER enzymes
*HEMODYNAMICS
*GLUE
- Language
- ISSN
- 2075-4426
The rupture of hepatocellular carcinoma (rHCC) is uncommon but causes sudden life-threatening bleeding. Selective transarterial embolization (STAE) is an effective bleeding-control option. The optimal embolic agent is unknown, and data on the use of cyanoacrylate glue are lacking. The objective of this study was to report the outcomes of cyanoacrylate-lipiodol embolization for rHCC. We retrospectively reviewed the files of the 16 patients (14 males; mean age, 72 years) who underwent emergency cyanoacrylate-lipiodol STAE at a single center in 2012–2023 for spontaneous rHCC. All 16 patients had subcapsular HCC and abundant hemoperitoneum. The technical success rate was 94% (15/16). Day 30 mortality was 19%; the three patients who died had severe hemodynamic instability at admission; one death was due to rebleeding. Liver enzyme levels returned to baseline by day 30. No rebleeding was recorded during the median follow-up of 454 days in the 10 patients who were alive with available data after day 30. Larger prospective studies with the collection of longer-term outcomes are needed to assess our results supporting the safety and effectiveness of cyanoacrylate-lipiodol STAE for rHCC. Randomized trials comparing this mixture to other embolic agents should be performed. [ABSTRACT FROM AUTHOR]