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Permanent Transarterial Embolization of Neuroendocrine Metastases of the Liver Using Cyanoacrylate and Lipiodol: Assessment of Mid- and Long-Term Results

Christian Loewe1, Martin Schindl2, Manfred Cejna1, Bruno Niederle2, Johannes Lammer1 and Siegfried Thurnher1

1 Department of Radiology, Division of Angiography and Interventional Radiology, University of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria.
2 Department of Surgery, Division of General Surgery, Section of Endocrine Surgery, University of Vienna, A-1090 Vienna, Austria.



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  		Fig. 1. —Histogram presenting Kaplan-Meier cumulative survival curve of patients with neuroendocrine carcinomas of small bowel (n = 23) treated with permanent transarterial embolization of liver metastasis for 95% confidence interval ({blacktriangleup} on dotted lines). Numbers ([UNK] on solid line) are numbers of patients alive at time of writing.

 


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  		Fig. 2A. —64-year-old man with multiple small metastases in both the right and left liver lobes. CT scan obtained in portal venous phase after previous liver embolization shows three small hypodense lesions (arrows) in liver segments IV and II.

 


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  		Fig. 2B. —64-year-old man with multiple small metastases in both the right and left liver lobes. CT scan obtained in portal venous phase shows additional lesion (arrow) in liver segment V.

 


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  		Fig. 2C. —64-year-old man with multiple small metastases in both the right and left liver lobes. CT scan obtained in portal venous phase18 months after second embolization shows marked decrease of lesions (arrows) in segment IV. Lesion in segment II is no longer visible.

 


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  		Fig. 2D. —64-year-old man with multiple small metastases in both the right and left liver lobes. CT scan shows that even lesion (arrow) in segment V has fundamentally decreased. Patient is still alive 27 months after this partial treatment response.

 

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