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Treatment of colon cancer with embolization or chemoembolization (program ID: 689352)

University Hospital Duesseldorf

location_on Duesseldorf, Germany
9.45/10 from 71 Votes
Specialized hospital
Gerald Antoch

Head Physician
Prof. Dr. med.

Gerald Antoch

Specialized in: adult and pediatric diagnostic radiology, interventional radiology and neuroradiology

Department of Adult and Pediatric Diagnostic Radiology, Interventional Radiology and Neuroradiology

Program includes:

  • Initial presentation in the hospital
  • Clinical history taking
  • Review of available medical records
  • Physical examination
  • Laboratory tests:
    • Complete blood count
    • General urine analysis
    • Biochemical analysis of blood
    • Tumor markers
    • Inflammation indicators (CRP, ESR)
    • Coagulogram
  • Ultrasound​ scan
  • CT scan / MRI
  • Preoperative care
  • Embolization or chemoembolization, 2 procedures
  • Symptomatic treatment
  • Cost of essential medicines
  • Nursing services
  • Elaboration of further recommendations

How program is carried out

During the first visit, the doctor will conduct a clinical examination and go through the results of the available diagnostic tests. After that, you will undergo the necessary additional examination, such as the assessment of liver and kidney function, ultrasound scan, CT scan and MRI. This will allow the doctor to determine which vessels are feeding the tumor and its metastases, as well as determine how well you will tolerate the procedure.

Chemoembolization begins with local anesthesia and catheterization of the femoral artery. The thin catheter is inserted through a few centimeters long incision of the blood vessel. The doctor gradually moves the catheter to the vessel feeding the primary tumor or its metastases. The procedure is carried out under visual control, an angiographic device is used for this. The vascular bed and the position of the catheter in it are displayed on the screen of the angiograph.

When the catheter reaches a suspected artery, a contrast agent is injected through it. Due to the introduction of the contrast agent, the doctor clearly sees the smallest vessels of the tumor and the surrounding healthy tissues on the screen of the angiograph. After that, he injects emboli into the tumor vessels through the same catheter.

Emboli are the spirals or the liquid microspheres. The type of embolus is selected individually, taking into account the diameter of the target vessel. When carrying out chemoembolization, a solution of a chemotherapy drug is additionally injected into the tumor vessel. Due to the subsequent closure of the vessel lumen with an embolus, the chemotherapy drug influences the tumor for a long time. In addition, the drug does not enter the systemic circulation, which allows doctors to use high doses of chemotherapeutic agents without the development of serious side effects. Chemoembolization leads to the destruction of the tumor or slowing down its progression.

After that, the catheter is removed from the artery. The doctor puts a vascular suture on the femoral artery and closes it with a sterile dressing. During chemoembolization, you will be awake. General anesthesia is not used, which significantly reduces the risks of the procedure and allows performing it on an outpatient basis, avoiding long hospital stay.

After the first procedure, you will stay under the supervision of an interventional oncologist and general practitioner. If necessary, you will receive symptomatic treatment. As a rule, a second chemoembolization procedure is performed in 3-5 days after the first one in order to consolidate the therapeutic effect. After that, you will receive recommendations for further follow-up and treatment.

Required documents

  • Medical records
  • Esophagogastroduodenoscopy (EGD), MRI/CT scan (not older than 3 months)
  • Biopsy results (if available)
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About the department

The Department of Adult and Pediatric Diagnostic Radiology, Interventional Radiology and Neuroradiology at the University Hospital Duesseldorf offers the full range of modern radiological examinations and minimally invasive imaging-guided treatment of various diseases. Most often, radiologists have to deal with the diagnostics and therapy of tumors, inflammatory processes, injuries, pathologies of the heart and vascular diseases. The combination of advanced medical technologies and high professionalism of the doctors working in the department are the key to the successful treatment results.The department is headed by Prof. Dr. med. Gerald Antoch.

The department is an academic medical institution, therefore, a certain part of its time is devotes to research activities, which give excellent results of international importance. The department has various specialized work groups, which activities are focused on the MRI examinations, interventional procedures, hybrid imaging, neuroradiology and gynecological radiology.

The service range of the department includes:

Diagnostic radiology

  • Classic X-ray examinations
  • Digital X-ray examinations
  • Ultrasound examinations
  • Computed tomography
  • Magnetic resonance imaging
  • Positron emission tomography with computed tomography (PET-CT) in collaboration with the Department of Nuclear Medicine
  • MR spectroscopy
  • Digital mammography
  • Tomosynthesis
  • Galactography
  • Imaging-guided biopsy and puncture
  • Other diagnostic options

Pediatric radiology

  • X-ray examinations
  • Ultrasound examinations
  • Computed tomography (CT)
  • Magnetic resonance imaging (MRI)

Neuroradiology

  • Diagnostics
    • Myelography and CT myelography
    • Angiography of the head and neck arteries
    • Diagnostics in stroke (CT and MRI)
    • Interventional neuroradiological interventions
    • Hemangioma treatment
    • Stenting in carotid stenosis
    • Coiling for the treatment of aneurysms
    • Embolization in vascular malformations (arteriovenous malformations, dural fistulas)
    • Vertebroplasty (minimally invasive procedure for the treatment of pain in vertebral fractures)
    • Pain therapy in the spinal pains (periradicular therapy, facet joint infiltration)

Interventional radiology

  • Treatment of liver cancers and metastases
    • Transarterial embolization
    • Transarterial chemoembolization
    • Selective intra-arterial radiation therapy
    • Radiofrequency ablation
    • Portal vein embolization
    • Percutaneous transhepatic biliary drainage
  • Treatment of the kidney tumors
    • Radiofrequency ablation
  • Invasive diagnostics
    • CT-guided biopsy
  • Implantation of central venous catheters
  • Treatment of circulatory disorders (for example, diabetic foot syndrome, renal artery stenosis, angina)
    • Percutaneous transluminal angioplasty (including the implantation of drug-coated balloons)
    • Stenting
    • Complex recanalization procedures
    • CT-guided sympathicolysis
  • Treatment of acute vascular occlusions and circulatory disorders
    • Mechanical removal of blood clots
    • Intra-arterial lysis therapy
  • Treatment of aneurysms and acute haemorrhage
    • Coiling
    • Stent implantation
    • Pulmonary embolization in hemoptysis
  • Treatment of vascular diseases of the brain and spinal cord (aneurysms, stroke)
  • Vascular malformations
    • Embolization
    • Sclerotherapy
  • Other interventions
    • X-ray- and MRI-guided breast biopsy
    • Uterine artery embolization in uterine myomas
    • Embolization for the treatment of varicocele, benign prostatic hyperplasia
  • Other diagnostic and therapeutic options

Curriculum vitae

  • 1999 - 2000 Department of General and Trauma Surgery, Marien Hospital Duesseldorf.
  • 2001 - 2010 Department of Diagnostic and Interventional Radiology, Neuroradiology, University Hospital Essen.
  • 2001 - 2004 Residency in Diagnostic and Interventional Radiology.
  • 2004 Board Certification in Radiology.
  • 2004 - 2008 Consultant in Radiology.
  • 2008 - 2010 Vice Chairman.
  • Since 2010, Head of the Department of Adult and Pediatric Diagnostic, Interventional Radiology, Neuroradiology at the University Hospital Duesseldorf.

Scientific and Clinical Focuses

  • Hybrid imaging.
  • Interventional radiology.

Scientific Awards

  • 2007 Wilhelm Conrad Roentgen Award, German Society of Radiology.
  • 2005 Wolfgang Becker Award, Bavarian Association of Nuclear Medicine.
  • 2005 Lodwick Award, Harvard Medical School, Boston, USA.
  • 2005 Dr. Emil Salzer Award, German Cancer Research Center.
  • 2004 Best Scientific Paper of the Year, Aunt Minnie, USA.
  • 2003 Best Scientific Paper of the Year, Aunt Minnie, USA.
  • 2003 Alavi-Mandell Award, Society of Nuclear Medicine, USA.

Memberships

  • German Society of Radiology (DRG).
  • European Society of Radiology (ESR).
  • European Society of Hybrid Imaging (ESHI).
  • German Society for Interventional Radiology (DeGIR).
  • Society of Radiology of North Rhein-Westfalia (RWRG).
  • German Society for Radiation Protection in Medicine (DGMS).
  • German Society for Interdisciplinary Medicine (MEDICA).

Photo of the doctor: (c) Universitätsklinikum Düsseldorf 


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