[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
a procedure in adventure radiology
today you'll be having case ortay also
known as
transarterial chemoembolization or
trans-arterial
embolization 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
gold 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
your doctor will then inject small beads
to stop the blood flow to the tumors
with the goal of shrinking or killing
the tumors
this is referred to as stay or trans
arterial embolization
depending on your type of cancer and
your medical needs
the beads may also be coated with
chemotherapy as an added treatment
to target the tumors and this is
referred to as stace
or trans-arterial chemoembolization
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
you will be watching the hospital until
you're feeling well and safe to go home
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 intervention radiology care needs
you