Abstract
BackgroundTransarterial (chemo-)embolization/lipiodolization (TAE/TAL) might be an attractive minimally invasive alternative to surgery in the treatment of symptomatic hepatic haemangioma. This review assesses the efficacy and safety of TAE/TAL as primary treatment for symptomatic hepatic haemangioma.MethodsA systematic search of the literature was performed by two reviewers following the PRISMA guidelines. Cohort studies and case reports were identified; outcomes of cohort studies were reported. The primary efficacy outcome was tumour size before and after TAE/TAL. Improvement of symptoms and quality of life (QoL) were secondary outcomes; the primary safety outcome was complications. The Downs and Black statement was used for quality assessment.ResultsEighteen cohort studies were identified, including 1284 patients. TAE/TAL led to a decrease in tumour size in 1100/1223 (89.9%) patients and to improvement or disappearance of symptoms in 1080/1096 (98.5%) patients. A significant decrease in tumour size from 9.790.79cm to 4.00 +/- 1.36cm (p
Original language | English |
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Pages (from-to) | 800-811 |
Number of pages | 12 |
Journal | Cardiovascular and Interventional Radiology |
Volume | 42 |
Issue number | 6 |
DOIs | |
Publication status | Published - Jun 2019 |
Keywords
- Hepatic haemangioma
- Benign liver tumour
- Lipidolization
- Transarterial chemoembolization
- Embolization
- Interventional radiology
- TRANSCATHETER ARTERIAL EMBOLIZATION
- CAVERNOUS HEMANGIOMAS
- GIANT HEMANGIOMA
- LIVER HEMANGIOMA
- FOLLOW-UP
- MANAGEMENT
- TUMORS
- CRITERIA
- DIAGNOSIS
- QUALITY