Close
Transarterial radioembolization
What is transarterial radioembolization?
An interventional radiologist performs transarterial radioembolization using a tube (catheter) to deliver microscopic Y-90 beads into the bloodstream. The beads are directed straight to the tumor and use radiation to destroy it.
Why choose us for your transarterial radioembolization?
Our interventional radiology team works closely with our dual board-certified nuclear medicine doctors to provide Y-90 treatment. Our expert team performs transarterial radioembolization on a daily basis. This experience means our providers have the skills and expertise to treat you, even if you have a complex condition.
What to expect with transarterial radioembolization
We do an angiogram before and on the day of your transarterial radioembolization. The first angiogram is a test run to map out the route the radiation will take to your tumor.
On the day of the TARE procedure, the interventional radiologist directs an infusion containing millions of microscopic Y-90 beads to the tumor. The beads build up and block blood flow to the tumor and release a high dose of radiation while sparing nearby healthy tissue.
The procedure usually takes about 1-2 hours, and you return home the same day. The beads continue to emit radiation for about three days. Afterward, the beads stay in your liver and deteriorate over time.
Transarterial radioembolization does not cure liver cancer. But it can decrease the size of tumors and help control them to lessen your symptoms.
Frequently asked questions about transarterial radioembolization
What is a mapping angiogram?
One to two weeks before your transarterial radioembolization, doctors do a mapping angiogram to determine which blood vessels lead to the tumor. From this procedure, they can make a plan to direct the radiation beads to the precise location of the cancer.
Your provider begins the mapping angiogram by inserting a catheter into a blood vessel in either your groin or wrist. They will then inject dye to help identify the major artery that feeds the liver tumor. They also identify other blood vessels to be blocked to protect nearby healthy tissue.
Your care team will give you anesthesia to prevent pain and a sedative to help you remain calm. The Y-90 mapping procedure usually takes about two to four hours.
What are the benefits of transarterial radioembolization?
Transarterial radioembolization has multiple benefits, including:
- Decreasing the size of tumors enough to qualify for liver transplant or surgery
- Direct radiation treatment straight to tumors, avoiding healthy tissue
- Fewer side effects than standard radiation
- Minimally invasive treatment, meaning no large incisions and a faster recovery time
- Relieving symptoms
- Slowing down or stopping tumor growth
Transarterial radioembolization can provide better quality of life and extend your overall life span.
What are the risks and side effects of transarterial radioembolization?
The side effects from transarterial radioembolization are typically mild. They include:
- Fatigue
- GI ulcers
- Nausea and vomiting
Am I a candidate for transarterial radioembolization?
We typically recommend transarterial radioembolization for people when surgery has been ruled out. This may be because tumors are too close to major blood vessels or other organs. We may also recommend it if there are too many tumors to be treated with chemoemobilization.
Get cancer care
Transarterial radioembolization requires a physician’s referral. Call 210-450-9731 to request an appointment with one of our doctors.