"Transarterial chemoembolization"의 두 판 사이의 차이
| (같은 사용자의 중간 판 9개는 보이지 않습니다) | |||
| 11번째 줄: | 11번째 줄: | ||
*Right [[inferior phrenic artery]](m/c) | *Right [[inferior phrenic artery]](m/c) | ||
*[[Omental artery]](2nd) | *[[Omental artery]](2nd) | ||
| − | *left inferior phrenic artery, adrenal artery, intercostal artery, cystic artery, internal mammary artery, renal artery 등 | + | *left inferior phrenic artery, adrenal artery, intercostal artery, cystic artery, internal mammary artery, renal capsular artery 등 |
| + | *main origin site: celiac axis>aorta>renal artery>left gastric artery | ||
| + | *Falciform a. intercostal a., intermal thoracic a.는 embolization 시 skin complication 가능 | ||
| + | |||
| + | ==Anatomic variation of hepatic artery== | ||
| + | *Replaced right hepatic a. of SMA | ||
| + | *Aberrant left hepatic a. of left gastric a | ||
| + | *accessory right or left hepatic artery | ||
| + | *Left gastric artery의 변이는 fissure for ligamentum venosum을 지나고, right heaptic artery의 변이는 porto caval space를 지남 | ||
| + | **변이 간동맥 외에 accessory/aberrant left gastric a. or v., left inferior phrenic a.도 fissure for ligamentum venosum 지날 수 있음 | ||
| + | |||
| + | ==Complication== | ||
| + | *[[Post-chemoembolization syndrome]] | ||
| + | *ischemia: [[ischemic cholangiopathy]] | ||
| + | |||
| + | |||
| + | ==기타== | ||
| + | *Oily portogram | ||
2022년 1월 13일 (목) 19:00 기준 최신판
Transarterial chemoembolization(TACE, 경동맥 화학색전술, 간암 화학색전술, 간동맥 화학색전술)는 HCC의 인터벤션 치료임.
목차
Post TACE MRI features
- Following TACE therapy, sufficiently treated tumors usually are replaced by necrosis.
- On T2-weighted images, the necrotic area appears moderately hypo- or isointense
- In addition to residual tumor, T2hyperintensity can represent hemorrhage, liquefactive necrosis, or inflammatory infiltrate.
- Similar to the necrotic area following ablative therapy, the necrotic area following TACE does not show enhancement on contrast-enhanced series
Collateral arterial supply
- Right inferior phrenic artery(m/c)
- Omental artery(2nd)
- left inferior phrenic artery, adrenal artery, intercostal artery, cystic artery, internal mammary artery, renal capsular artery 등
- main origin site: celiac axis>aorta>renal artery>left gastric artery
- Falciform a. intercostal a., intermal thoracic a.는 embolization 시 skin complication 가능
Anatomic variation of hepatic artery
- Replaced right hepatic a. of SMA
- Aberrant left hepatic a. of left gastric a
- accessory right or left hepatic artery
- Left gastric artery의 변이는 fissure for ligamentum venosum을 지나고, right heaptic artery의 변이는 porto caval space를 지남
- 변이 간동맥 외에 accessory/aberrant left gastric a. or v., left inferior phrenic a.도 fissure for ligamentum venosum 지날 수 있음
Complication
기타
- Oily portogram