bandage-green

Hepatic Artery Chemoembolization and Yttrium-90 Radioembolization

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 1-2 hours (average)
Blood Loss : Low (10-50 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : No
Considerations : Off-site, Fluoroscopy / Xray, PONV

Anesthetic Approaches

1MAC, Conscious Sedation
2MAC, Propofol Drip
3GETT
The Surgery

Mapping angiogram - for radioembolization a separate earlier procedure maps the arterial anatomy, coils off gastric and duodenal branches, and injects labeled particles so the lung shunt fraction can...

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