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Radiochemoambolization of liver tumors


Radio-chemoambolization of hepatic artery is a new method for performing chemotherapy and radiotherapy at the same time. The combination of there two methods is performed along with chemotherapy and radiotherapy of liver tumors. Simultaneous performance of these two methods will have a more effective treatment result for the patient. 


Radio-pharmaceuticals are radioactive particles capable of beta radiation and can radiate 80 to 100 mm around them and ablate tumor cells via radiation. Thus, the injection of radio-pharmaceuticals into the liver causes liver tumors to be radiated from a close distance and leads to local radiotherapy. 

The advantage of radio-chemoambolization 

Simultaneous performance of chemotherapy and radiotherapy of liver lesions 
Better treatment result of two methods of chemotherapy and radiotherapy 
Persistence of radio-pharmaceuticals effect on the liver for two weeks 
Acceleration of metastases treatment and, thereby, reduced tumor size 

Required preparations for the radio-chemoambolization

Fasting for approximately 6 hours before the surgery 
Removal of unwanted hair from groin 
Having the patients medical records 
Performing blood coagulation tests before the surgery 

Necessary examinations before the surgery 

Your liver function should be examined by the doctor at this clinic. If you have heart disease or diabetes, make sure to notify the doctor so that the necessary measures would be taken. If you are taking medicines such as Asprin, Warfarin, and Plevix, make sure to keep your doctor informed. 

How radio-chemoambolization is performed 

This procedure is performed under the guidance of imaging devices with local anesthesia. That is, a special catheter will be inserted into the hepatic artery through the right groin artery. After angiography of hepatic artery and determination of the arteries supplying blood to the tumor, the catheter will be inserted into the blood vessels an, then, chemotherapy drugs and radio-pharmaceuticals along with blockers will be inserted into the arteries supplying blood to the tumor. 

Post-operative symptoms 

Feeling pain after the surgery. This will usually respond to painkillers and will be alleviated depending on the location and extent of the lesion. 
Low fever that sometimes lasts for one week after the injection. Some medicines will be injected for nausea and vomiting during and after the surgery and these symptoms are quite normal (resulting from simultaneous use of chemotherapy and radio-pharmaceuticals). It should be noted that the presence of these symptoms after radio-chemoambolization surgery is normal. However, in case of sudden changes, high fever, chills and uncontrollable pain, make sure to notify the physician. 

This surgery is usually performed as an outpatient procedure and the patient will be discharged in 3 to 4 hours after the operation. The patient may need to be hospitalized for up to 24 hours after the surgery, depending on his/her condition. 


The radioactive substance is short-ranged beta radiation with no danger to he people nearly and it will not be excreted in the urine and feces. Therefore, no special measures are required and radioactive substance will automatically disappear after a while. 
At the time of discharge, you will also be given analgesics, antipyretics, anti-nausea, and antibiotics. 

Follow-up measures after radio-chemoambolization surgery 

After a week, the patient will be able to return to normal activities. In order to assess the success of the treatment, on month after the surgery, CT scan or MRI will be performed at this clinic. According to the patients response to treatment, subsequent sessions of radio-chemoambolization surgery will be determined. 

fax: (+98 21) 22 25 82 48, tel: (+98 21) 22 25 82 45-7 , email:info@pardisnoor.com      Design By Simiaco