1、Transcatheter Arterial Chemoembolization,Hepatocellular carcinoma precise therapy,precise transarterial chemoembolization ablation:microwave ablation,radio-frequency ablation,laser ablation,High Intensity Focused Ultrasound (HIFU)cryo-ablation ethanol ablation,acetic acid ablationradioactive particl
2、eIndividual combined therapy principle:,Background Precise TACE,TACE -the most mature and effective treatment methods for non-surgical treatment HCC. The quality of TACE effect were not only associated with the tumor vessels embolization but also associated with full showing extrahepatic parasitic a
3、rtery and precise TACE. Omental artery (OA) - one of rare extrahepatic parasitic artery supplying HCC.,Abdominal enhanced CT :the edge of the tumor arterial thickening, strongly indicate the presence of parasitic OA blood vessel.,Use of microcatheterTACE,Use of microcatheterTACE,Use of micro-cathete
4、rfirst TACE,Use of micro-catheter2nd TACE-OA branches involved in blood supply-,Use of microcatheterOAs TACE,Use of microcatheter KUB after OAs TACE,Discussion-5 OA Too Fine,OA was too fine, superselective catheterization was failure (black arrow), there gastroduodenal drainage vein in the immediate cessation of embolization (white arrow),