Transcatheter Intraarterial Therapies

An overview of and the rationale behind several transcatheter therapies.

Course ID: Q00332 Category:
Modalities: ,


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Targeted CE per ARRT’s Discipline, Category, and Subcategory classification:
[Note: Discipline-specific Targeted CE credits may be less than the total Category A credits approved for this course.]

Registered Radiologist Assistant: 1.50
Procedures: 1.50
Abdominal Section: 1.50

Radiation Therapy: 1.50
Procedures: 1.50
Treatments: 1.50

Vascular-Interventional Radiography: 1.50
Procedures: 1.50
Vascular Interventional Procedures: 1.50


  1. Introduction
  2. Technical Considerations
  3. Transarterial Embolization
    1. Background
    2. Clinical Evidence
  4. Intraarterial Chemoinfusion
    1. Background
    2. Clinical Evidence
  5. Transarterial Chemoembolization
    1. Background
    2. Clinical Evidence
  6. Drug-eluting Microspheres
    1. Background
    2. Clinical Evidence
  7. 90γ Radioembolization
    1. Background
    2. Clinical Evidence
  8. Comparison of Transcatheter Therapies
  9. Future Directions
    1. Background
    2. Combined Approaches
    3. Advances in Therapeutics
    4. Advances in Imaging
    5. Advances in Assessing Response to Therapy
  10. Conclusion


Upon completion of this course, students will:

  1. understand the types of transcatheter transarterial therapies
  2. be aware of how chemoembolization emerged as a standard of care
  3. discuss how radioembolization has emerged over the past decade
  4. know the source of hepatic blood supply
  5. discuss why transcatheter intraarterial therapy works well for liver cancer
  6. understand the importance of hepatic anatomy
  7. know what procedure can be used to reduce adverse effects from transarterial chemoembolization
  8. be familiar with embolizing agents used in transarterial embolization therapy
  9. define a retrospective approach in clinical studies
  10. be familiar with patient survival rates for transarterial embolization
  11. understand which types of liver metastasis can be treated with transarterial embolization
  12. know that bleeding can be treated with transcatheter arterial embolization
  13. understand how regional drug therapy increases concentration of drugs
  14. define in vivo
  15. understand who performs the procedure to place arterial catheters
  16. know the intended purpose of tumor embolization
  17. describe patient populations that can benefit from transarterial chemoembolization
  18. describe how drug-eluting beads are delivered to the tumor
  19. understand TACE
  20. know symptoms of postembolization therapy
  21. discuss the first study regarding drug-eluting beads
  22. know if drug-eluting bead therapy is safe and effective for all cancer patients
  23. understand symptoms of clinical syndrome
  24. discuss radioembolization
  25. understand which transarterial therapies provide the least risk of hepatic necrosis
  26. discuss clinical studies regarding time to cancer progression
  27. discuss the Marelli et al study and which therapies the study compared
  28. know what type of drug doxorubin is
  29. know what type of lab animals are used to research transcatheter therapy
  30. be familiar with the future of transcatheter therapy research
  31. know the sizes and types of tumors that can be treated with intraarterial therapy
  32. know how the metabolism of a tumor is affected by transcatheter therapy
  33. know what makes digital subtraction angiography limited in transcatheter therapy
  34. know what superselective radioembolism is
  35. discuss the combined imaging technologies that assist with repositioning hepatic arterial catheters
  36. know when follow up imaging is performed after cancer treatment
  37. discuss functional imaging
  38. understand agencies that provide radiologic tumor measurement guidelines
  39. know what types of hepatic malignancies have been treated successfully with transcatheter intraarterial therapy
  40. understand invasive level of transcatheter therapy