TACE Flashcards

1
Q

What is TACE

A

Transarterial
Chemoembolization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

places chemotherapy and synthetic materials called embolic agents into a blood vessel feeding a cancerous tumor to cut off the tumor’s blood supply and trap the chemotherapy within the tumor

A

TACE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

carries blood to the liver from the intestines, spleen, pancreas, and gallbladder

A

Hepatic Portal Vein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Give 5 clinical indications of TACE

A
  • Unresectable hepatocellular carcinoma
  • Selective Metastatic disease
  • Cholangiocarcinoma
  • decreasing liver function
  • patient’s daily activity performance capabilities
  • lack of microvascular invasion
  • limited extrahepatic disease
  • isolated or hepatic dominant metastatic deposits
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

give 5 contraindications of TACE

A
  • Extensive tumor infiltration throughout the liver
  • Encephalopathy
  • Large burden of extra-hepatic metastases
  • Liver or renal failure
  • Uncorrectable coagulopathy
  • Acute Decompensation of baseline liver function
  • Iodinated contrast allergies
  • Portal Vein Thrombosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

This condition refers to low levels of red blood cells, white blood cells or platelets

A

Sever cytopenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What do you call the condition that refers to low levels of RBC?

A

Anemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What do you call the condition that refers to low levels of WBC?

A

Leukopenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What do you call the condition that refers to low levels of platelets?

A

Thrombocytopenia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

approaches of TACE

A

Trans-femoral route (hepatic artery approach)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the chemotherapy drug used in TACE?

A

doxorubicin 50 mg, cisplatin 100 mg, 10 ml iodinated non-ionic CM, 20 ml liopodol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Give 5 complications of TACE

A

Generalized abdominal discomfort
Low-grade fever
Nausea
Malaise
Hepatic Insufficiency
Abscess
Biliary necrosis
Tumor rupture
Cholecystitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Aftercare of TACE

A
  • Daily Monitoring of liver and renal function
  • Follow-up imaging at 3-16 weeks
  • Inspection of pseudo-
    aneurysms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Procedure of Tace

A
  1. make a small incision on the femoral artery
  2. insert catheter through incision
  3. using real time fluoro, guide catheter to tumor
  4. Inject die through the catheter to make it easier to visualise the tumor
  5. Inject chemotherapy drug to tumor
  6. Remove catheter, put bandage over incision
How well did you know this?
1
Not at all
2
3
4
5
Perfectly