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12 Oct, 8 tweets, 6 min read
We are pleased to introduce the first in a series of IR Procedure “Starter Kits.” These are very basic visual overviews of common procedures designed by the RFS for IR trainees. #SIRRFS #twittIR #IRad #OncoRad #RadRes #futurerads
𝗧𝗿𝗮𝗻𝘀𝗵𝗲𝗽𝗮𝘁𝗶𝗰 𝗮𝗿𝘁𝗲𝗿𝗶𝗮𝗹 𝗰𝗵𝗲𝗺𝗼𝗲𝗺𝗯𝗼𝗹𝗶𝘇𝗮𝘁𝗶𝗼𝗻 (𝗧𝗔𝗖𝗘) is a procedure that involves intra-arterial administration of chemotherapy, followed by an embolic agent, in order to induce necrosis of liver malignancy.
TACE is used as locoregional therapy for liver malignancies, both primary and metastatic.⁣ Listed here are the indications and contraindications of TACE.
Most patients undergoing TACE will first be presented at a multidisciplinary tumor conference, where the latest imaging will be reviewed. A discussion of their staging will direct them toward the most suitable therapy. ⁣Key imaging is multiphasic CT.
The procedure itself is performed under fluoroscopy, where an interventional radiologist will carefully select the vessels which supply the target lesion and treat them with a mixture of drug-eluting beads and contrast. Visual monitoring of the entire delivery process is key. ⁣
Following the procedure, the patient will be monitored in post-op for nausea and pain. Same-day discharge is typical. ⁣Moving forward, it will be increasingly important to compare TACE efficacy and safety against segmental ablation with treatments like Y-90.
This IR Procedure Starter Kit was developed by @MichaelRNovack

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