Patients were given TACE using cytotoxic drugs as determined by a local multi-disciplinary team in accordance with the recommendations of the European/American Association for Liver Disease guidelines [18 (link), 19 (link)].
Conventional TACE was performed through femoral access under moderate sedation using the Seldinger technique [20 (link)]. To cause embolization of the tumour microcirculation, cytotoxic drugs or chemotherapeutic agents suspended in lipiodol were administrated into the tumour-feeding artery with a dose ranging from 5 to 30 mL depending on the location, the size, and the number of lesions. If necessary, gelatin sponge particles (150–350 μm) were injected to block the blood until the flow was static.
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