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(searched for: doi:10.4103/jcrt.JCRT_993_16)
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Seung Yeon Noh, , Suyoung Park, Woo Jin Yang, Hee Ho Chu, Jong Woo Kim
Published: 23 December 2020
Journal: Acta Radiologica
Acta Radiologica, Volume 63, pp 48-58; https://doi.org/10.1177/0284185120981771

Abstract:
The inferior phrenic artery (IPA) is the most common extrahepatic feeder for hepatocellular carcinoma (HCC) during transhepatic arterial chemoembolization (TACE). To compare the incidence of diaphragmatic weakness in patients with HCC after TACE of the right IPA conducted using either N-butyl cyanoacrylate (NBCA) or gelatin sponge particles. Medical records of 111 patients who underwent TACE of the right IPA using NBCA were retrospectively reviewed and compared with data from 135 patients with IPA embolization using gelatin sponge particles. The incidence of diaphragmatic weakness after the initial TACE procedure did not significantly differ between the groups (NBCA group 16.2%; gelatin sponge group 20.7%; P = 0.458). Five patients in the NBCA group and 11 in the gelatin sponge group showed spontaneous resolution of diaphragmatic weakness after a mean period of 3.5 months. Diaphragmatic weakness developed after the initial follow-up visit in 17 patients from the gelatin sponge group due to repeated TACE of the right IPA (mean 2.4 sessions; range 2–4 sessions), while it spontaneously developed without additional TACE procedures in one patient from the NBCA group. Permanent diaphragmatic weakness was less common in the NBCA than in the gelatin sponge group (12.6% and 25.2%, respectively; P = 0.017). The complete response rate did not significantly differ between the groups (NBCA group 16.2%; gelatin sponge group 25.9%; P = 0.065). Use of NBCA rather than gelatin sponge particles for TACE of the right IPA resulted in a lower incidence of permanent diaphragmatic weakness.
, , Nobutaka Sato, Eri Oda, Koichi Kinoshita, Hideaki Yuki, Toshihiko Motohara, Hideaki Miyamoto, Tsutomu Oda, Shinichi Akahoshi
Published: 12 November 2020
Clinical Journal of Gastroenterology, Volume 14, pp 251-257; https://doi.org/10.1007/s12328-020-01286-2

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Li Li, Luo Qiang, Liu Yufeng, Zhang Lin, Yao Wu
Published: 13 December 2017
Journal: RSC Advances
RSC Advances, Volume 7, pp 56271-56279; https://doi.org/10.1039/c7ra12131h

Abstract:
Malignant germ cell tumors (GCTs) such as seminoma and yolk sac tumor cause serious health problems but with favorable prognosis if they were diagnosed timely.
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