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1、Transcatheter Arterial ChemoembolizationTranscatheter Arterial ChemoemHepatocellular carcinoma precise therapy precise transarterial chemoembolization ablation: microwave ablation,radio-frequency ablation,laser ablation, High Intensity Focused Ultrasound (HIFU) cryo-ablation ethanol ablation,acetic

2、acid ablation radioactive particle Individual combined therapy principle: Hepatocellular carcinoma preciBackground Precise TACETACE -the most mature and effective treatment methods for non-surgical treatment HCC.The quality of TACE effect were not only associated with the tumor vessels embolization

3、but also associated with full showing extrahepatic parasitic artery and precise TACE.Omental artery (OA) - one of rare extrahepatic parasitic artery supplying HCC.Background Precise TACETACE -肝癌的介入治疗课件肝癌的介入治疗课件肝癌的介入治疗课件Abdominal enhanced CT :the edge of the tumor arterial thickening, strongly indica

4、te the presence of parasitic OA blood vessel.Abdominal enhanced CT :the edgUse of microcatheterTACEUse of microcatheterTACEUse of microcatheterTACEUse of microcatheterTACEUse of micro-catheterfirst TACEUse of micro-catheterfirst TA肝癌的介入治疗课件肝癌的介入治疗课件 Use of micro-catheter2nd TACE -OA branches involved in blood supply- Use of micro-catheteUse of microcatheterOAs TACEUse of microcatheterOAs TACEUse of microcatheterKUB after OAs TACEUse of microcatheterDiscussion-5 OA Too Fine OA was too fine, superselective catheterization was failure (black arrow), there gastroduodenal drainage vein in

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