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Sarcomas present challenges in management due to their aggressive nature. Interventional radiology, utilizing ablation and embolization, offer promising alternatives for recurrent cases. In recent years, combined techniques (ablation + embolization) and the use of balloon-microcatheter have been introduced to enhance the necrotic effect in HCC treatment. This paper presents the case of a 47-year-old female with recurrent abdominal sarcoma treated with balloon-occluded microwave ablation (b-MWA) and balloon-occluded transarterial embolization (b-TAE). Post-treatment imaging revealed a significant reduction in lesion size and absence of pathological contrast enhancement. This study highlights the potential of balloon-catheter-assisted combined therapies (b-MWA + b-TAE) in managing sarcomas, expanding the applicability of interventional radiology for inoperable cases that are too large for ablative therapy alone or requiring multiple antennas. Further research is warranted to refine protocols and enhance patient outcomes in sarcoma management.
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http://dx.doi.org/10.1016/j.radcr.2024.07.180 | DOI Listing |
Clin J Gastroenterol
September 2025
Department of Gastroenterology and Hepatology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.
Portopulmonary hypertension (POPH), a subtype of pulmonary arterial hypertension (PAH), develops with portal hypertension and may persist after liver transplantation. While there have been successes using balloon-occluded retrograde transvenous obliteration (BRTO) for POPH, no reports exist on long-term follow-up. A 60-year-old man with hepatitis C cirrhosis developed POPH.
View Article and Find Full Text PDFDuodenal varices, though rare, are potentially life-threatening complications of portal hypertension. Management is challenging when balloon-occluded retrograde transvenous obliteration (BRTO) fails to achieve complete obliteration. Endoscopic ultrasonography-guided variceal therapy (EUS-VT) is effective for gastric varices, but reports of duodenal varices remain limited.
View Article and Find Full Text PDFEur Radiol Exp
August 2025
Department of Diagnostic Radiology, Osaka Medical and Pharmaceutical University, Takatsuki-City, Osaka, Japan.
Background: This study investigated the correlation between decreased internal iliac arterial blood pressure (IIABP) and blood perfusion volume within the vesical artery region during double-balloon-occluded arterial infusion chemotherapy (D-BOAI) for invasive bladder cancer, utilizing two-dimensional perfusion angiography (2D-PA).
Materials And Methods: Sixteen patients were enrolled in this study. A double-balloon catheter was positioned into the contralateral internal iliac artery via the femoral artery approach.
Cardiovasc Intervent Radiol
August 2025
Department of Radiology, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.
Purpose: This retrospective study investigated the efficacy of n-butyl-2-cyanoacrylate (nBCA)-assisted balloon-occluded retrograde transvenous obliteration (NARTO) of gastric varices and splenorenal shunts.
Materials And Methods: Between November 2021 and February 2024, 16 patients (3 females, 13 males) underwent NARTO, consisting of balloon-occluded retrograde transvenous obliteration (BRTO) followed by nBCA embolization of the efferent draining vein without the balloon catheter remaining indwelling afterward, to treat gastric varices in 12 patients with liver cirrhosis or to improve portal vein flow or hepatic encephalopathy in four patients with splenorenal shunts after liver transplantation.
Results: NARTO was technically successful in all 16 patients without major procedure-related complications.
J Belg Soc Radiol
July 2025
Department of Radiology, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, Republic of Korea.
To compare balloon-occluded retrograde transvenous obliteration (BRTO) using sodium tetradecyl sulfate and plug-assisted retrograde transvenous obliteration (PARTO), for treating symptomatic gastric varices. A retrospective review of 51 consecutive patients (age: 63.7 ± 12.
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