TARE Treatment in Delhi done by Dr. Arun Gupta - Interventional Radiology

1. TARE TARE Treatment Treatment in in Delhi Delhi done done by by Dr. Dr. Arun Arun G Gupta upta - - Interventional Interventional Radiology Radiology Transarterial Radioembolization (TARE) What is it? Radioembolization is a minimally invasive procedure that combines embolization and radiation therapy to treat liver cancer. Tiny glass or resin beads filled with the radioactive isotope yttrium Y-90 are placed inside the blood vessels that feed a tumor. This blocks the supply of blood to the cancer cells and delivers a high dose of radiation to the tumor while sparing normal tissue. It can help extend the lives of patients with inoperable tumors and improve their quality of life. The radiation from yttrium-90 continually decreases over a two-week period and disappears after 30 days. The tiny microspheres remain in the liver without causing any problems. It is two step process STEP 1: Assessment of lung shunt fraction STEP 2: Radioembolization after 7-10 days

2. Why (Indications)? Primary infiltrative / multifocal HCC It is a palliative treatment, which means it does not provide a cure but instead helps slow down the growth of the disease and alleviate symptoms. Patients who are unfit for surgery or liver transplantation. Why Not (Contraindication)? Severe liver or kidney dysfunction, abnormal blood clotting or a blockage of the bile ducts. What you are to do before procedure (Preparation)? Visit us in OPD (9-5) with previous lab results (*CBC, LFT, Serum Creatinine,  PT/INR), imagingetc. for proper planning and schedule date. We may require fresh CT angiogram for this. If you are on blood thinner like Aspirin inform during appointment.  You will receive specific instructions on how to prepare, including any changes  that need to be made to your regular medication schedule. You will be given a sedative during the procedure. You will receive specific  instructions on eating and drinking before the procedure and will need to have a relative or friend accompany you and drive you home afterward. Get admission one day prior to scheduled procedure.  One accompanying person  Need to sign a consent form for procedure  What are the benefits vs. risks? Benefits For patients with inoperable tumors, radio-embolization can extend lives from  months to years and improve quality of life. In some cases, it may allow for more curative options such as surgery or liver transplantation. Radioembolization produces fewer side effects compared to standard radiation  therapy. No surgical incision is needed—only a small nick in the skin that does not have  to be stitched closed. A higher dose of radiation to the tumor is given during radio-embolization than  with standard external beam therapy. Risks

3. Infection, contrast allergy  Radiation induced lung or bowel injury.  Approx. Stay in hospital? We have very fast and competent working team (Consultant, fellow, clinical assistant, technician and ward assistant) which provide you comfortable atmosphere and ease your nerves. Usual time of stay is around 2-3 Days. Complications Post embolization syndrome (Pain, nausea, vomiting and low grade fever can last for 3 days). Resume to work? You can resume your work after 2-3 days if existing disease allows. Results: When and How? After Two-month follow-up CT Scan to be done.