TRANSARTERIAL BLEOMYCIN EMBOLIZATION FOR HEPATIC HEMANGIOMA

Thanh Dũng Lê1,2,3,, Thế Nghĩa Phạm 3, Văn Sỹ Thân 1
1 Viet Duc hospital
2 VNU Hanoi-University of Medicine and Pharmacy
3 Hanoi medical university

Main Article Content

Abstract

Objective: To evaluate the short-term effectiveness of endovascular intervention (TAE) with lipiodol–bleomycin (LBE) mixture for large liver hemangiomas. Methods: Retrospective study on 16 patients with large liver hemangiomas who underwent TAE with LBE from January 2022 to December 2022 at Viet Duc Friendship Hospital. The patients were followed up by injection CT or MRI at 1 and 6 months, respectively, after TAE. Results: mean age of patients was 55.31 ± 8.5 years old. The largest tumor diameter before and after the intervention was 71.56 ± 20.11 mm and 61.31 ± 24.36 mm, in which the largest diameter of the remaining enhancement was 28.62 ± 25.96 mm; the difference was statistically significant (p < 0.001). TAE was technically successful in all patients without major complications. Improvement in abdominal symptoms was noted in all cases (100%). Conclusion: TAE with LBE is a safe and effective method for symptomatic and/or large liver hemangiomas. More studies with larger sample sizes and comparisons are needed to evaluate the safety and effectiveness of this method.

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References

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