{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T11:29:28Z","timestamp":1771673368057,"version":"3.50.1"},"reference-count":10,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Resumo A quimioemboliza\u00e7\u00e3o arterial transcateter consiste em promover isquemia e a\u00e7\u00e3o citot\u00f3xica por meio da inje\u00e7\u00e3o de microesferas contendo quimioter\u00e1picos aplicada seletivamente nos vasos que nutrem o tumor. Paciente do sexo feminino, com 87 anos, em tratamento paliativo para carcinoma hepatocelular com indica\u00e7\u00e3o de quimioemboliza\u00e7\u00e3o, foi submetida a angiografia pr\u00e9-procedimento, a qual identificou oclus\u00e3o do tronco cel\u00edaco. A op\u00e7\u00e3o foi a cateterismo seletiva da art\u00e9ria hep\u00e1tica pr\u00f3pria por uma via alternativa para lan\u00e7amento do agente quimioter\u00e1pico, atrav\u00e9s da art\u00e9ria mesent\u00e9rica superior com comunica\u00e7\u00e3o utilizando a arcada pancreatoduodenal. Evid\u00eancias de aumento da sobrevida demonstrados em estudos ap\u00f3s a quimioemboliza\u00e7\u00e3o foram relatados, bem como redu\u00e7\u00e3o da taxa de crescimento tumoral; entretanto, dificuldades em acessar e cateterizar a art\u00e9ria nutr\u00edcia tumoral atrav\u00e9s do acesso alternativo tornam o procedimento um desafio, devido \u00e0 tortuosidade da arcada pancreatoduodenal.<\/jats:p>","DOI":"10.1590\/1677-5449.180090","type":"journal-article","created":{"date-parts":[[2019,5,29]],"date-time":"2019-05-29T15:46:27Z","timestamp":1559144787000},"source":"Crossref","is-referenced-by-count":2,"title":["Quimioemboliza\u00e7\u00e3o arterial transcateter de carcinoma hepatocelular em paciente com oclus\u00e3o de tronco cel\u00edaco: um desafio terap\u00eautico"],"prefix":"10.1590","volume":"18","author":[{"given":"Altino Ono","family":"Moraes","sequence":"first","affiliation":[{"name":"Instituto de Mol\u00e9stias Vasculares,  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