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Fig. 6. Repeated alternate infusion of cisplatin and sparse gelatin slurry under balloon-occlusion (RAIB-TACE) for large nodules. Dynamic computed tomography (CT) showed 2 large nodules (arrow; A, B) more than 10 cm in diameter and multiple small nodules (arrowheads; A). First session of RAIB-TACE was performed for right and left hepatic arteries. On digital subtraction angiography after first session of RAIB-TACE (C), caudal segment (white arrow; C) and gall bladder arteries (white arrowhead; C) were patent. Arterial branches were filled with gelatin slurry (black arrowheads; C). Second session of RAIB-TACE was performed 3 months after the first one. Dynamic CT 5 months after second session of RAIB-TACE showed complete remission (arrow; D) and partial remission (black arrow; E) of each large nodule. The viable part (arrowhead; E) would be supplied via gall bladder artery.
Int J Gastrointest Interv 2020;9:13~18 https://doi.org/10.18528/ijgii190025
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