Chemoembolization is considered to be the most appropriate procedure for the patients with liver tumors. It has been repeatedly mentioned about the necessity of chemoembolization of the hepatic artery in malignant liver tumor (it should be reminded that in modern medicine the combination of embolization with regional chemotherapy is used and provides a double effect; administration of chemo medicine, at which the high concentration of drug is achieved without systemic side effects and simultaneous blockage of blood vessels feeding the tumor).
A 47-year-old patient A.A. in 08.08.15. was admitted to MC Erebouni with a diagnose of Hepatocellular carcinoma. Previously the patient was has CT-scan and percutaneous liver biopsy (under the CT control), which confirmed diagnose. The tumor was located in the fourth lobe of the liver and had dimensions 8.5 × 9.5cm. It is important to note that the patient hasn`t metastases. In such cases all around the world the chemoembolization is a choice. By invasive cardiologist of Department of Angiography MC Erebouni Dr. Arsen Tsaturyan the angiography of hepatic and superior mesenteric arteries was carried out and the vessels feeding the tumor was detected. Simultaniously was carried out chemoembolization of the arteries, feeding the tumor with the use of Hepasphere (the special embolizing solution, designed for ebbolization of liver tumors) and Farmorubucin (chemo -medicine).
The intervention was uneventful. The patient is under supervision and receives an appropriate treatment. A month later the patient will pass CT-examination for the control of the effectiveness of the surgery.
Such kind of surgeries are high-tech and require the special equipment, experience and are carried out only in MC Erebouni.
Contrast subtraction angiography of hepatic arteries (indicated by arrows on the 4th segment of the liver, where the well vascularized tumor is visualized).
The stagnation of the contrast solution in the tumor is quite visible
(embolization endpoint; the arrows indicates the tumor borders).
The condition after chemoembolization of the tumor.