Review Article
Hepatic Arterial Embolization for the Treatment of Metastatic Neuroendocrine Tumors
Table 1
Outcomes of hepatic arterial embolization in large published case series.
| Author | Type of embolization | No. of patients/No. of embolization procedures | Survival | Comments |
| Bloomston et al. [36] | TACE | 122/156 | PFS: 10 months OS: 33 months 5-yr survival: 28% | Symptom improvement associated with increase in OS |
| Swärd et al. [33] | TAE | 107/213 | OS: 56 months | Increased survival with reduction in 5-HIAA; reduced survival with increased AST or chromogranin A |
| Pitt et al. [28] | TACE and TAE | 100/229 | TACE 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 TAE | 60/123 | OS: 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 TACE | 27/54 | OS: 28 months PFS: 5 months | Repeat TACE associated with similar OS and PFS, and lower complication rates compared to single TACE |
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