Transarterial (Chemo-)Embolization and Lipiodolization for Hepatic Haemangioma

Alicia Furumaya, Belle V. van Rosmalen*, R. Bart Takkenberg, Otto M. van Delden, Cornelis H. C. Dejong, Joanne Verheij, Thomas M. van Gulik

*Corresponding author for this work

Research output: Contribution to journal(Systematic) Review article peer-review

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 languageEnglish
Pages (from-to)800-811
Number of pages12
JournalCardiovascular and Interventional Radiology
Volume42
Issue number6
DOIs
Publication statusPublished - 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

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