Evidence map›Paper›PMID 39961859›Full record

ArticleCardiovascular and interventional radiology2025

Long-Term Outcome of Liver Transplantation for Hepatocellular Carcinoma After Bridging or Downstaging with Doxorubicin-Eluting Superabsorbent Polymer Microspheres.

Maud Wang, Lawrence Bonne, Annouschka Laenen, Jeroen Dekervel, Diethard Monbaliu, Wim Laleman, Vincent Vandecaveye, Jacques Pirenne, Chris Verslype, Geert Maleux

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Article in Cardiovascular and interventional radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Maud WangDepartment of Radiology and Department of Imaging and Pathology, University Hospitals KU Leuven, Leuven, Belgium.
Lawrence BonneDepartment of Radiology and Department of Imaging and Pathology, University Hospitals KU Leuven, Leuven, Belgium.
Annouschka LaenenDepartment of Biostatistics and Statistical Bioinformatics, University Hospitals KU Leuven, Leuven, Belgium.
Jeroen DekervelDepartment of Gastroenterology and Hepatology, University Hospitals KU Leuven, Leuven, Belgium.
Diethard MonbaliuDepartment of Abdominal Transplantation Surgery, University Hospitals KU Leuven, Leuven, Belgium.
Wim LalemanDepartment of Gastroenterology and Hepatology, University Hospitals KU Leuven, Leuven, Belgium.
Vincent VandecaveyeDepartment of Radiology and Department of Imaging and Pathology, University Hospitals KU Leuven, Leuven, Belgium.
Jacques PirenneDepartment of Abdominal Transplantation Surgery, University Hospitals KU Leuven, Leuven, Belgium.
Chris VerslypeDepartment of Gastroenterology and Hepatology, University Hospitals KU Leuven, Leuven, Belgium.
Geert MaleuxDepartment of Radiology and Department of Imaging and Pathology, University Hospitals KU Leuven, Leuven, Belgium. geert.maleux@uzleuven.be.ORCID http://orcid.org/0000-0003-0598-0258

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo retrospectively evaluate the long-term outcomes of patients treated with liver transplantation after neoadjuvant or induction transarterial chemoembolization using doxorubicin-eluting superabsorbent polymer microspheres and to assess risk factors associated with disease recurrence and death after transplantation. MATERIALS AND

methodsBetween January 2006 and April 2021, 286 patients underwent liver transplantation related to cirrhosis and early hepatocellular carcinoma (HCC). Demographic, angiographic imaging, and clinical follow-up data were collected from patients' electronic medical records. Kaplan-Meier method was used to estimate disease-free survival. The prognostic effect of patient and disease characteristics on HCC recurrence was analyzed using logistic regression models.

resultsFifty-three out of 286 patients (19%) underwent neoadjuvant or induction chemoembolization with doxorubicin-eluting superabsorbent polymer microspheres as bridging (n = 36) or as downstaging (n = 17) treatment. Time between diagnosis and liver transplantation was 311 days (range:225-440). Post-transplant follow-up revealed HCC recurrence in n = 1 (3%) and n = 4 (23.5%) patients in the bridging and downstaging groups, respectively, and disease-free survival at 5 years of 86% and 65% (p < 0.05) in the bridging and downstaging groups, respectively. Prognostic factors for post-transplant HCC recurrence include number of HCC lesions (p = 0.0088) and total tumor size (p = 0.0188) at diagnosis, as well as number of lesions (p = 0.0181) and largest tumor size (p = 0.0179) at explant analysis.

conclusionNeoadjuvant or induction chemoembolization with doxorubicin-eluting superabsorbent polymer microspheres is associated with a low incidence of post-transplant HCC recurrence; number and total size of HCC lesions at diagnosis and at explant analysis are risk factors for post-transplant HCC recurrence.

Indexed as

Antibiotics, AntineoplasticCarcinoma, HepatocellularChemoembolization, TherapeuticDoxorubicinLiver NeoplasmsLiver TransplantationAdultAgedFemaleHumansMaleMicrospheresMiddle AgedNeoadjuvant TherapyNeoplasm Recurrence, LocalNeoplasm StagingAntibiotics, AntineoplasticDoxorubicinPolymersChemoembolizationDrug-eluting beadsLiver transplantationNeoadjuvantOutcome

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.