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Combined trans-arterial embolization and ablation for the treatment of Large (> 3 cm) liver metastases: review of the literature

Data pubblicazione

2022/9/22

Editore

MDPI

Autori

Eliodoro Faiella, Alessandro Calabrese, Domiziana Santucci, Carlo de Felice, Claudio Pusceddu, Davide Fior, Federico Fontana, Filippo Piacentino, Lorenzo Paolo Moramarco, Rosa Maria Muraca, Massimo Venturini

Abstract

(1) Background: The aim of this review was to determine the state of clinical practice in the role of the combined approach of embolization and ablation in patients with secondary liver lesions greater than 3 cm who are not candidates for surgery, and to study its safety and efficacy. (2) Methods: Two reviewers conducted the literature search independently. Eight articles on the combined approach of embolization and ablation in secondary liver lesions were selected. (3) Results: The studies were published between 2009 and 2020. Two studies were prospective in design. The sample size was < 100 patients for all studies. All studies demonstrated the safety of the combined approach based on the low complication rate. Some studies lamented non-uniform systemic chemotherapy regimens and the variability in the sequence of embolization and ablation. (4) Conclusions: This review presents the combined approach of ablation and embolization in liver lesions greater than 3 cm as a safe therapeutic procedure with positive effects on patient survival. Prospective and multicentric studies are needed to further evaluate its efficacy.

Pagine

5576

Contatti

Dott. Claudio Pusceddu – Mater Olbia Email: clapusceddu@gmail.com Telefono: 380 30 89 094