Article (Scientific journals)
Transarterial chemoembolization of hepatocellular carcinoma before liver transplantation and risk of post-transplant vascular complications: a multicentre observational cohort and propensity score-matched analysis
Sneiders, D; Boteon, A P C S; Lerut, J et al.
2021In British Journal of Surgery, 108 (11), p. 1323 - 1331
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Abstract :
[en] Background: Transarterial chemoembolization (TACE) in patients with hepatocellular cancer (HCC) on the waiting list for liver transplantation may be associated with an increased risk for hepatic artery complications. The present study aims to assess the risk for, primarily, intraoperative technical hepatic artery problems and, secondarily, postoperative hepatic artery complications encountered in patients who received TACE before liver transplantation. Methods: Available data from HCC liver transplantation recipients across six European centres from January 2007 to December 2018 were analysed in a 1: 1 propensity score-matched cohort (TACE versus no TACE). Incidences of intraoperative hepatic artery interventions and postoperative hepatic artery complications were compared. Results: Data on postoperative hepatic artery complications were available in all 876 patients (425 patients with TACE and 451 patients without TACE). Fifty-eight (6.6 per cent) patients experienced postoperative hepatic artery complications. In total 253 patients who had undergone TACE could be matched to controls. In the matched cohort TACE was not associated with a composite of hepatic artery complications (OR 1.73, 95 per cent c.i. 0.82 to 3.63, P = 0.149). Data on intraoperative hepatic artery interventions were available in 825 patients (422 patients with TACE and 403 without TACE). Intraoperative hepatic artery interventions were necessary in 69 (8.4 per cent) patients. In the matched cohort TACE was not associated with an increased incidence of intraoperative hepatic artery interventions (OR 0.94, 95 per cent c.i. 0.49 to 1.83, P = 0.870) Conclusion: In otherwise matched patients with HCC intended for liver transplantation, TACE treatment before transplantation was not associated with higher risk of technical vascular issues or hepatic artery complications. © 2021 The Author(s). Published by Oxford University Press on behalf of BJS Society Ltd. All rights reserved.
Disciplines :
Surgery
Author, co-author :
Sneiders, D;  Department of Surgery, Erasmus MC University Medical Center, Erasmus MC Transplant Institute, Rotterdam, Netherlands
Boteon, A P C S;  Liver Unit, Queen Elizabeth Hospital Birmingham, Birmingham, United Kingdom
Lerut, J;  Institute for Experimental and Clinical Research (IREC), Universite´ catholique de Louvain UCL, Brussels, Belgium
Iesari, S;  Institute for Experimental and Clinical Research (IREC), Universite´ catholique de Louvain UCL, Brussels, Belgium ; Kidney Transplantation Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
Gilbo, NICHOLAS  ;  Université de Liège - ULiège > Département des sciences cliniques > Pathologie chirurgicale abdominale et endocrinienne ; Centre Hospitalier Universitaire de Liège - CHU > > Service de chirurgie abdo, sénologique, endocrine et de transplantation
Blasi, F;  Department of Abdominal Transplant Surgery, University Hospitals Leuven, Leuven, Belgium
Laureiro, Z Larghi;  Department of Surgery Science, Transplantation and HPB Unit, University Hospital Tor Vergata, Rome, Italy
Orlacchio, A;  Department of General Surgery and Organ Transplantation, General Surgery and Organ Transplant Unit, Sapienza University of Rome, Umberto I Policlinic of Rome, Rome, Italy
Tisone, G;  Department of Abdominal Transplant Surgery, University Hospitals Leuven, Leuven, Belgium
Lai, Q;  Department of Surgery Science, Transplantation and HPB Unit, University Hospital Tor Vergata, Rome, Italy
Pirenne, J;  Department of Surgery Science, Diagnostic and Interventional Unit, University Hospital Tor Vergata, Rome, Italy
Polak, W G;  Department of Surgery, Erasmus MC University Medical Center, Erasmus MC Transplant Institute, Rotterdam, Netherlands
Perera, M T P R;  Liver Unit, Queen Elizabeth Hospital Birmingham, Birmingham, United Kingdom
Manzia, T M;  Department of Abdominal Transplant Surgery, University Hospitals Leuven, Leuven, Belgium
Hartog, H;  Liver Unit, Queen Elizabeth Hospital Birmingham, Birmingham, United Kingdom
More authors (5 more) Less
Language :
English
Title :
Transarterial chemoembolization of hepatocellular carcinoma before liver transplantation and risk of post-transplant vascular complications: a multicentre observational cohort and propensity score-matched analysis
Publication date :
2021
Journal title :
British Journal of Surgery
ISSN :
0007-1323
eISSN :
1365-2168
Publisher :
Oxford University Press
Volume :
108
Issue :
11
Pages :
1323 - 1331
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 25 January 2024

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