Liver Neoplasms
Conditions
Keywords
Ablation Techniques
Brief summary
To evaluate a novel technique-ultrasound guided percutaneous abaltion of tumor feeding artery before RFA for liver malignancy.
Detailed description
Hepatocellular carcinoma is one of the most common tumor in clinical practice. In recent years, various local therapies, especially radiofrequency ablation (RFA) has been proved safe and effective.The main limitation of RFA is that its therapeutic impact is significant compromised by blood flow cooling effect, especially in hypervascular HCC. Recent studies showed combined therapy of TACE and RFA can decrease the blood supply of tumor, increase ablated volume and therefore improve the outcome. However, TACE application is limited in patients who cannot tolerate this therapy due to the side effects of repeated TACE, poor liver function or previously legated hepatic artery. The present study is focus on difficult-to-treat HCC patients who are neither surgical candidates, nor TACE candidates. The investigators introduce the novel treatment mode that RFA followed ultrasound guided percutaneous ablation of tumur feeding arterial to treat these difficult cases and evaluate the clinical effect.
Interventions
OTHERPAFA
percutaneous ablation of tumor feeding artery
OTHERtumor ablation
ablation of tumor area directly
Sponsors
Peking University Cancer Hospital & Institute
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. tumor number ≤3， maximum tumor size ≤5cm; 2. accessibility of tumors via a percutaneous approach; 3. tumor feeding artery can be detected by 3D contrast enhance ultrasound; 4. platelet count ≥ 50,000/ml and INR \<1.6; 5. life expectancy more than 6 months 6. Child grade A or B
Exclusion criteria
1. patients who scheduled liver transplantation 2. with extrahepatic metastasis 3. women during menstruation, pregnancy, child birth and baby nursing period 4. patients with severe mental disorder 5. cardiopulmonary failure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| completed tumor necrosis | 1 month | Contrast enhanced CT or MRI was examed to evaluate tumor necrosis 1 month after ablation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| tumor recurrence | up to 36 months | tumor recurrence around the ablation zone |
Countries
China
Outcome results
None listed