Jena

• Wednesday, January 29th: 8:49 - 9:14, Room 3 - Technical Forum

  Case 40 – Holmium 166-SIRT of intrahepatic cholangiocellular carcinoma of the left liver lobe

  Center:

  Jena

  Case 40 – JEN 02: male, 75 years (K-U)

  Operators:

  • René Aschenbach,
  • R. Drescher

  CLINICAL DATA
  iCCC, Grade II of the left lobe, not resectable due to advanced liver fibrosis
  
  IMPORTANT ITEMS
  ITB waived at first line therapy resection
  Intra-operative advanced fibrosis
  Liver surgeons stated this as not resectable
  ITB reviewed the case and recommended SIRT (probably radio-segmentectomy if possible)
  
  PROCEDURAL STEPS
  1. Right groin puncture
  – 5F sheath (TERUMO)
  2. Access to liver
  – 5F Cobra catheter (BOSTON SCIENTIFIC)
  3. Access to tumor
  – Microcatheter Progreat (TERUMO)
  4. Application of estimated activity
  – QuiremSpheres/Holmium 166 (TERUMO)
  5. Vascular closure device of the right groin
  – Exoseal (CORDIS)

  View image
• Wednesday, January 29th: 11:08 - 11:33, Room 3 - Technical Forum

  Case 42 – DEB-TACE of hepatocellular carcinoma HCC of the left lobe

  Center:

  Jena

  Case 42 – JEN 03: male, 64 years (H-D)

  Operators:

  • René Aschenbach,
  • Florian Bürckenmeyer

  CLINICAL DATA
  22 mm HCC in the left lobe, bridging to transplant, liver cirrhosis Child-PUGH B7, in-side MILAN, no extrahepatic disease, no macrovascular invasion
  
  IMAGING
  Typical appearence in CT Scan, in-side Milan, no extrahepatic disease
  
  PROCEDURAL STEPS
  1. Right groin puncture
  – 5F sheath (TERUMO)
  2. Access to hepatic
  – 5F Cobra catheter (BOSTON SCIENTIFIC)
  3. Access to feeding vessel
  – OccluSafe Micro-Catheter (TERUMO)
  4. Inflation of Ballon on MicroCath to drop the arterial stump pressure
  5. Embolization with doxorubicin loaded particels
  – Embozene Tandem 40 μm (Varian Medical Systems)
  – Doxorubicin load: 50 mg/ml
  6. Embolization up to complete filling of tumor
  7. Control angiography with proof of stasis
  8. Vascular closure
  – Exoseal 5F (CORDIS)

  View image
• Wednesday, January 29th: 13:51 - 14:11, Room 1 - Main Arena 1

  Case 28 – JEN 01

  Center:

  Jena

  Case 28 – JEN 01

  Detailed information will be shown in the video itself!
• Wednesday, January 29th: 15:48 - 16:09, Room 3 - Technical Forum

  Case 46 – Prostate artery embolization

  Center:

  Jena

  Case 46 – JEN 04: male, 61 years

  Operators:

  • Tobias Franiel,
  • René Aschenbach

  CLINICAL DATA
  Lower urinary tract symptoms (LUTS)
  IPSS 19, mainly obstructive symptoms (0-30)
  QoL 5 (0-6), IIEF-5 25
  Prostate volume 75 ml, PSA 2,4 ng/ml
  Qmax 8,9ml/s
  Residual urinary volume 30ml
  Unsuccessful medication therapy for at least 6 mo
  Counselling about urol. alternative treatments
  
  PROCEDURAL STEPS
  1. Cone beam CT
  2. Identification of prostate arteries and their origin
  3. Cannulation of prostate arteries (left side first)
  4. Guiding catheter: 4F RIM 65 cm (Merit Medical)
  alternative 4F SIM1 65 cm (Merit Medical)
  5. Microcatheter: Progreat 2.7F 130 cm (TERUMO)
  alternative Progreat 2.0F 130 cm (TERUMO)
  6. Embolic agent: Embozene 400 μm (Boston Scienfic)
  7. Microcoils for embolization of possible accessory and collateral arteries: Azur18 helica 2 mm x 2 cm (TERUMO)
• Wednesday, January 29th: 16:54 - 17:14, Room 3 - Technical Forum

  Case 48 – JEN 05

  Center:

  Jena

  Case 48 – JEN 05

  Operators:

  • René Aschenbach,
  • Ioannis Diamantis

  Detailed information will be shown in the video itself!