Figure 5.

Retrograde-outflow percutaneous isolated hepatic perfusion for multiple hepatocellular carcinomas in a 64-year-old man. A patients received 2 sessions of transcatheter arterial chemoembolization for multiple hepatocellular carcinomas (HCCs) at other hospital. Computed tomography (CT) during arterial portography (A) and hepatic arteriography (B) demonstrated multiple HCCs with portal vein invasion (arrows). Retrograde-outflow percutaneous isolated hepatic perfusion (C, arterial phase; D, venous phase) was performed twice (arrow of D indicated a portal branch), and enhanced CT imaging 6 mo after therapy (E) revealed that the HCC was diminished.