Transarterial chemoembolization of hepatocellular carcinoma using antireflux catheter

Abstract

Transarterial chemoembolization is an effective treatment option for patients with intermediate and advanced hepatocellular carcinoma. There are several complications that can occur with this procedure, most of which are the result of nontarget embolization. One such complication is acute cholecystitis following nontarget embolization of the cystic or accessory cystic arteries, which usually occurs secondary to reflux of the embolic agent. Our case demonstrates utilization of the Surefire Infusion System to prevent this complication. This antireflux catheter was very effective in a case where vessel anatomy created a substantial risk for a clinically significant nontarget embolization of the cystic artery.