[Music]
hello
my name is dr mina mccary and i'm a
vascular and interventional radiologist
at the ohio state university wexner
medical center i'll be going over your
procedure
in adventure radiology today you'll be
having y90 radio embolization
this treatment involves two steps first
a planning session
and second is a treatment session this
is a minimally invasive treatment
for liver tumors and it's a safe and
effective form of therapy
the main benefit of this procedure is to
treat your liver tumors
with the goals of either shrinking or
controlling your tumors
depending on your type of cancer and
symptoms
you may also see improvement in your
symptoms
risks include pain infection and
bleeding at the
groin access site there are also rare
risks
including liver failure or damage
and potential risk to other organs such
as the gallbladder
bowel or stomach which are very uncommon
it is important to remember that the
response to treatment goals of therapy
and risks vary from patient to patient
your doctor will discuss your specific
situation with you
when you're transferred to the procedure
room your loved ones will return to the
waiting area
and will have access to complementary
wi-fi and snacks
a member of our team will also be
available for questions and updates on
your progress
as you go through the procedure in the
procedure room
you will have your blood pressure your
pulse and your other vitals checked
for safety purposes you may also be
asked
many of the same questions you've been
asked before specifically verifying your
procedure
its location your allergies and your
medications
the procedure is generally performed
under moderate or twilight sedation
where you're sleepy or relaxed but still
able to respond to the physician
and breathe on your own your physician
will discuss your personal sedation
needs with you
to ensure you're comfortable during the
procedure additionally we also
administer a local and static or numbing
medication
to the skin which makes sure that the
area is numb
during the procedure we make a small
incision in your groin
and place a small catheter into your
artery to target the blood supply to
your liver tumors
we use ultrasound x-rays and often cat
scat imaging
to locate the area of interest in the
liver your doctor
may ask you to hold your breath when
we're taking x-rays during the procedure
for the planning session we use
radioactive beads to
trial run the procedure and see the
blood supply to your liver
and tumors to plan for the treatment
session
one to two weeks after that for the
treatment session we deliver the actual
y-90 radioactive beads
with the goal of shrinking and killing
the tumors at the end of the procedure
we remove the
catheter and close your incision after
the procedure
you'll be asked to lay in bed with your
leg extended
and avoid moving or bending at your hip
for several hours
to ensure your incision heals
appropriately
after the treatment some patients may
experience what is called as post
symbolization syndrome
this basically results in flu-like
symptoms for several days
including pain low grade fever
nausea vomiting fatigue
this is a totally normal response and
you should not be alarmed
if you have any concerns or any
questions arise
please call 614-293-2773 to speak to a
member of our team our goal is to make
sure you're comfortable during the
procedure and have a great experience
today
so please do not hesitate to ask your
physician or any member of your
healthcare team
if you have any questions or if there's
anything we can do to ensure you're
comfortable during visit
thank you for choosing ohio state for
your interventional radiology care needs