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Brief Title: Role of (LMWH) in Prevention of Thromboembolic Complication After (TACE) in Hepatocellular Carcinoma.
Official Title: Role of (LMWH) in Prevention of Thromboembolic Complication After (TACE) in Hepatocellular Carcinoma.
Study ID: NCT02715492
Brief Summary: Hepatocellular carcinoma (HCC) is a major health problem worldwide, and most cases are inoperable because of late presentation and underlying cirrhosis. It represents the fifth most common tumor in the world and the third most frequent cause of mortality amongst patients with cancer. Due to the worldwide difficulties in finding liver for transplantation, hepatic resection (HR) represents the main stay of curative treatment for patients with HCC. Transcatheter arterial chemoembolization (TACE) is widely used as alternative treatments for unresectable HCC or for patients not eligible to be operated on . TACE also could be an adjuvant therapy for resectable HCC patients after hepatectomy, which could prevent recurrence and improve long-term survival .
Detailed Description: Thromboembolism is a well-recognised complication of malignant disease. Clinical manifestations vary from venous thromboembolism to disseminated intravascular coagulation and arterial embolism. Disseminated intravascular coagulation is most commonly observed in patients with haematological malignant disorders and those with wide spread metastatic cancer, whereas arterial embolism is most commonly observed in patients undergoing chemotherapy and in those with non-bacterial thrombotic endocarditis . The goals of using antithrombotic therapy with TACE in HCC are to minimize mortality and to improve survival rate without provoking excessive bleeding.
Minimum Age: 40 Years
Eligible Ages: ADULT
Sex: ALL
Healthy Volunteers: No
Tanta university - faculty of medicine, Tanta, , Egypt
Name: Osama Negm, Prof
Affiliation: Prof. liver diseases-Tanta university
Role: PRINCIPAL_INVESTIGATOR
Name: Sabry Abou Saif, Ass. Prof.
Affiliation: Ass/ Prof. liver diseases-Tanta university
Role: STUDY_CHAIR
Name: Mohamed El Gharib, Ass. Prof.
Affiliation: Ass. Prof. interventional radiology - Ain-shams university
Role: STUDY_DIRECTOR
Name: Sherief Abd-Elsalam, Lecturer
Affiliation: MD liver diseases - Tanta university
Role: STUDY_DIRECTOR