Prophylactic topically applied ice to prevent cutaneous complications of nontarget chemoembolization and radioembolization

J Vasc Interv Radiol. 2013 Apr;24(4):596-600. doi: 10.1016/j.jvir.2012.12.020.

Abstract

Cutaneous complications can result from nontarget deposition during transcatheter arterial chemoembolization or radioembolization. Liver tumors may receive blood supply from parasitized extrahepatic arteries (EHAs) that also perfuse skin or from hepatic arteries located near the origin of the falciform artery (FA), which perfuses the anterior abdominal wall. To vasoconstrict cutaneous vasculature and prevent nontarget deposition, ice packs were topically applied to at-risk skin in nine chemoembolization treatments performed via 14 parasitized EHAs, seven chemoembolization treatments near the FA origin, and five radioembolization treatments in cases in which the FA could not be prophylactically coil-embolized. No postprocedural cutaneous complications were encountered.

MeSH terms

  • Adult
  • Aged
  • Chemoembolization, Therapeutic / adverse effects*
  • Cryotherapy / methods*
  • Embolization, Therapeutic / adverse effects*
  • Embolization, Therapeutic / methods
  • Female
  • Humans
  • Ice*
  • Liver Neoplasms / blood supply
  • Liver Neoplasms / diagnostic imaging
  • Liver Neoplasms / therapy*
  • Male
  • Middle Aged
  • Radiodermatitis / etiology
  • Radiodermatitis / physiopathology
  • Radiodermatitis / prevention & control
  • Radiotherapy / adverse effects
  • Retrospective Studies
  • Skin Diseases / diagnostic imaging
  • Skin Diseases / etiology
  • Skin Diseases / physiopathology
  • Skin Diseases / prevention & control*
  • Skin* / blood supply
  • Skin* / drug effects
  • Skin* / radiation effects
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vasoconstriction*

Substances

  • Ice