Review Article

Hepatic Arterial Embolization for the Treatment of Metastatic Neuroendocrine Tumors

Table 1

Outcomes of hepatic arterial embolization in large published case series.

AuthorType of embolizationNo. of patients/No. of embolization proceduresSurvivalComments

Bloomston et al. [36]TACE122/156PFS: 10 months
OS: 33 months
5-yr survival: 28%
Symptom improvement associated with increase in OS

Swärd et al. [33]TAE107/213OS: 56 monthsIncreased survival with reduction in 5-HIAA; reduced survival with increased AST or chromogranin A

Pitt et al. [28]TACE and TAE100/229TACE OS: 25.5
TAE OS: 25.7
TACE 5-yr survival: 19%
TAE 5-yr survival: 13%
OS and 5-yr survival not statistically different between TAE and TACE; resection of primary tumor increased OS

Kamat et al. [23]TACE and TAE60/123OS: 18 months
PFS: 9 months
Patients had greater than 75% hepatic tumor burden; symptom
improvement seen in 65%; major complication rate of 29%

Varker et al. [37]Repeat TACE27/54OS: 28 months
PFS: 5 months
Repeat TACE associated with similar OS and PFS, and lower complication rates compared to single TACE