Treatment of colon cancer with embolization or chemoembolization (program ID: 689342)

University Hospital Rechts der Isar Munich

location_on Munich, Germany
9.8/10 from 70 Votes
Specialized hospital
Ernst Rummeny

Head Physician
Prof. Dr. med.

Ernst Rummeny

Specialized in: diagnostic and interventional radiology

Department of Diagnostic and Interventional Radiology

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)
Type of program :
Expected duration of the program:

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About the department

The Department of Diagnostic and Interventional Radiology at the University Hospital Rechts der Isar Munich offers the full range of imaging diagnostics, as well as innovative imaging-guided minimally invasive techniques for the treatment of tumors, diseases of the vessels and internal organs (for example CT, MRI, PET-CT, SPECT). The department is headed by Prof. Dr. med. Ernst Rummeny.

In the field of diagnostic radiology, of particular interest are studies in patients with diseases of the abdominal organs, musculoskeletal system, including joints, diseases of the mammary gland and cardiovascular system. The department also has a specialized section for breast diagnostics in patients with cancer. The doctors use in their clinical practice the advanced diagnostic devices for x-ray, ultrasound, CT, MRI, etc.

The doctors of the department have deep knowledge and tremendous experience in the application of interventional radiological treatments, which represent an excellent alternative to open surgical interventions. Despite the high level of technical equipment and the availability of advanced computerized systems, the focus remains on a person with his individual needs.

The service range of the department includes:

Diagnostic examinations

  • Ultrasound diagnostics
  • Classical X-ray studies
  • Computed tomography
  • Magnetic resonance imaging
  • Breast diagnostics in cancer patients Other examinations

Vascular interventions

  • Angiography for imaging vessels of all parts of the body
  • Procedures for restoring vascular patency in chronic obliterating atherosclerosis of peripheral arteries, acute ischemia, pulmonary embolism or dialysis shunt thrombosis
    • Percutaneous transluminal angioplasty
    • Stenting
    • Thrombectomy
    • Catheter implantation for lysis therapy
    • Other methods
  • Vascular preservation procedures in dissections, aneurysms and bleeding
    • Stenting
    • Endoprosthetics
    • Other methods
  • Procedures for closing blood vessels in bleeding, during preparation for surgical interventions, as well as for therapeutic purposes
    • Embolization and coiling
    • Sclerotherapy for varicocele
    • Uterine fibroid embolization
    • Liver hemangioma embolization
    • Other methods
  • Procedures for liver tumor treatment
    • Chemoembolization (transarterial chemoembolization)
    • Radioembolization (selective intra-arterial radiation therapy)
    • Other methods
  • Implantation of port systems and central venous catheters
  • Removal of foreign bodies
  • Portal vein embolization
  • Other treatments

Non-vascular interventions

  • Percutaneous interventions on the bile ducts
    • Percutaneous transhepatic bile duct drainage
    • Percutaneous transluminal angioplasty
    • Stenting
    • Other methods

Curriculum vitae

Prof. Rummeny is the Head of the Department of Diagnostic and Interventional Radiology at the University Hospital Rechts der Isar Munich. His area of expertise is diagnostic radiology and nuclear medicine. The major focus of his research is in the field of oncology imaging, in particular, the development of cross-sectional imaging processes, such as MRI and CT tomography and linked hybrid systems, such as PET-CT and MR-PET. Together with colleagues from Biomedical Physics (Prof. F. Pfeffer) and Biological Imaging (Prof. V. Ntziachristos), he develops new devices for use in patient diagnostics. Furthermore, he is involved in the optimization of contrast agents.

After studying medicine in Saarbrücken and Mainz, he completed his PhD thesis in 1984 in Mainz and acquired his postdoctoral teaching qualification (habilitation) in 1994 at the University of Muenster. His clinical and scientific career took him to the German Diagnostic Clinic in Wiesbaden, Massachusetts General Hospital (Harvard Medical School) and the Massachusetts Institute of Technology, Boston, USA. From 1988 to 1989, (until his appointment at the Technical University of Munich in 2000) Professor Rummeny worked at the Institute for Clinical Radiology at the University of Muenster. His research is conducted in close cooperation with leading international institutes, including Harvard University and the University of California San Francisco.

Awards and Achievements

  • 2017 President of Congress of the German Radiological Society.
  • 2016 ESGAR Honorary Lecture, Prague.
  • 2011 Award "Ambassador against Cancer" from the Bavarian Ministry of Health.
  • 2008 Certificate of Honor of the Bavarian X-Ray Society.
  • 1999 MR Tomography Prize for the development of new MRT contrast media.

Photo of the doctor: (c) Klinikum rechts der Isar der Technischen Universität München

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