The duration of the conventional chemoembolization for hepatocellular carcinoma:factors affecting the procedural time

作     者：Matteo Renzulli Mattia Gentilini Giovanni Marasco Nicolo Brandi Alessandro Granito Silvia Lo Monaco Anna Maria Ierardi Antonio De Cinque Francesco Tovoli Laura Bartalena Daniele Spinelli Fabio Piscaglia Rita Golfieri Matteo Renzulli;Mattia Gentilini;Giovanni Marasco;Nicolò Brandi;Alessandro Granito;Silvia Lo Monaco;Anna Maria Ierardi;Antonio De Cinque;Francesco Tovoli;Laura Bartalena;Daniele Spinelli;Fabio Piscaglia;Rita Golfieri

作者机构：Department of RadiologyIRCCS Azienda Ospedaliero-Universitaria di BolognaBologna 40138Italy Internal Medicine and Digestive Physiopathology UnitIRCCS Azienda Ospedaliero-Universitaria di BolognaBologna 40138Italy Division of Internal MedicineIRCCS Azienda Ospedaliero-Universitaria di BolognaBologna 40138Italy Diagnostic and Interventional Radiology DepartmentFondazione IRCCS CàGranda Ospedale Maggiore PoliclinicoUniversitàdegli Studi di Milano MilanMilan 20122Italy 

出 版 物：《Hepatoma Research》 (肝癌研究（英文版）)

年 卷 期：2022年第8卷第1期

页      面：313-326页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Chemoembolization hepatocellular carcinoma procedural time angiographic room management 

摘      要：Aim:The present study evaluated the duration of chemoembolization in patients with hepatocellular carcinoma,analyzing possible factors affecting the procedural ***:In total,175 patients who underwent chemoembolization have been prospectively *** procedural length was considered the time between the insertion and the removal of the angiographic *** features related to the tumor burden and angiographic procedures,which could be related to the procedural time,were ***:The chemoembolization time resulted in a mean of 58.1 *** longer procedural time was associated with a number of nodules treated per patient≥2(P0.001),a number of segments with nodules≥2(P0.001),the presence of more than 1 nodule in the same segment(P0.001),the location of the tumor in the left lobe(P=0.001),the exclusion from the Milan criteria(P0.001),and a number of segments treated≥2(P0.001).Only the number of nodules treated per patient resulted significantly in multivariate analysis(OR 2.927,95%CI:2.015-4.251,P0.001).Conclusion:The factors related to longer procedural time are the number of nodules treated≥2,the number of segments with nodules≥2,the involvement of the left lobe,the tumor burden outside the Milan criteria,and the number of segments treated≥*** these characteristics,known in the pre-procedural phase,represent useful tools for a correct planning of the angiographic room’s workflow during the pandemic era as well as in the future to reduce downtime and increase productivity.