It is a potential good approach for intrahepatic tumor for recurrence too big for RFA and after unsuccessful treatment of TACE.
The side effects that I research on radioembo with Y90 is comparable to chemoembo with cisplatin and Adriamycin+mitomycin.
Its effectiveness also base on the size , number and location of the tumors and the patients' health status;
Fatigue (40-50%) is the major side effect;nausea is second but it may only last for a week or so.The treatment is divided into 2 days.
1st day is for the assessment of whether you can qualify for the radioembo Tx;MRI/PET/Cat will be performed at the hospital;Lab work will also be done (patients need to fast,not to eat anything the nite before) ; calculation of the radioactive Y90 dose will be done to maximize the benefit of the deliverty of the Y90.;a test run of the radioactive treatment will be done to make sure the Y90 go to the right places in stead of the stomach,lung or the intestine which will become a serious health concern.( all of these can take the whole day to do.)
In the 2nd day ,the patient will have an angiography and the procedure will be performed by interventional radiologist in a couple hours.and after observation for another couple hours in the hospital,if all goes well,patient can go home and will be seen by the doctor in a week or a month for follow up asessment.
In my personal opinion, as well as recommended by my 2nd opinion doctor recently, I will try radioembo with Y90 done by an EXPERIENCED interventional radiologist.(this is almost a MUST ) when the need arise;since many hospitals are now trying to have this option available to patients but most if not all,lacking the experienced radiologist to do it.
According to my knowledge, Northwestern university intervention radiology dept. in Chicago is best known for this treatment and research. Dr. Raid Salem and his team is recommended to me by my consulting doctor too.
a very general reference may be of help as follows;but I am sure you have already done your research.
http://www.omicsonline.org/2155-9619/21 … -2-110.php
Please know that my personal opinion is not intended nor implied to be a substitute for professional medical advice. If provided, information are for educational purposes.Consult doctor is a MUST for changing of treatment plans.