Research Article

Improved Efficacy of Transcatheter Arterial Chemoembolization Using Warmed Miriplatin for Hepatocellular Carcinoma

Figure 3

A case of hepatocellular carcinoma treated with warmed miriplatin. (a) Arterial phase of contrast-enhanced computed tomography (CT) before treatment. The white circle shows an enhanced lesion compatible with hepatocellular carcinoma. (b) Common hepatic arteriography showing a tumor stain (black circle). Occlusion and aneurysm formation are noted in the hepatic arterial branch, presumably caused by previous transcatheter arterial chemoembolization (TACE) using cisplatin (black arrow). (c) Early phase of CT during arteriography with the catheter tip placed in the common hepatic artery, 6 months after the first session of TACE using nonwarmed miriplatin. Obvious enhancement was observed, which indicated recurrence (white circle). (d) Celiac arteriography showing tumor stain (black circle). (e) Selective angiography with a microcatheter placed in a feeding artery. TACE was performed using warmed miriplatin in this session. (f) Arterial phase of contrast-enhanced CT, 4 months after the second session of TACE. Lipiodol accumulated densely in the target lesion, and the tumor size was decreased with no evidence of recurrence.
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