Abstract
Interventional angiography was performed in 96 cases from March 1981 to March 1986 at the department of radiology, Kumamoto National Hospital. Seventy-eight cases of them underwent embolization, fifteen underwent one-shot infusion therapy and only two underwent angioplasty. In our series, Interventional angiography was mainly performed in the treatment of neoplasms (78%).
Thirty-four cases of hepatocellular carcinoma were treated by transcatheter arterial embolization (TAE) by using Lipiodol with anticancer drug and geratin sponge dipped in MMC solution. Cumulative survival rate was 50% at 13 months and 20% at 27 months. Eight cases survived more than one year and the longest was 2 years and 7 months. Furthermore, in 7 cases of metastatic liver tumor, TAE resulted in favorable response, and the 50% survival period was 12.5 months.
TAE for renal tumar was performed in 17 cases, in which 7 cases were done as a preoperative management and 10 cases were done as a conservative therapy. The 50% survival period of the conservative therapy was 5 months, and the longest was 2 years and 7 months.
Trans-ileocolic vein obliteration of the gastroesophageal varices was performed in 7 cases; 4 cases were esophageal vavices, and 3 were cardial varices. Two of 3 cases of cardial varices were successfully controlled and survived more than one year.
Four cases of metastatic bone tumor with intractable pain and five cases of uncontrolled bleeding with hematuria and gastrointestinal hemorrhage, were well controlled by TAE.
As a result of our experience, we ensured that interventional angiography is one of the most important therapeutic procedure in the treatment of neoplasms and control of bleeding.
