@Article{dbt_mods_00060380, author = {Sch{\"o}nherr, Jacqueline and Seifert, Philipp and G{\"u}hne, Falk and Winkens, Thomas and Rauchfu{\ss}, Falk and Settmacher, Utz and Freesmeyer, Martin and Drescher, Robert}, editor = {Wong, David}, title = {Transarterial Radioembolization (TARE) in Patients with Hepatocellular Carcinoma: A Comparison of Palliative with Bridging-to-Transplant Concepts}, journal = {Cancers}, year = {2024}, month = {Jan}, day = {04}, publisher = {MDPI}, address = {Basel}, volume = {16}, number = {1}, keywords = {liver carcinoma; hepatocellular carcinoma; radioembolization; liver transplantation; bridging therapies}, abstract = {We investigated transarterial radioembolization (TARE) as a palliative measure and bridging-to-transplant therapy in hepatocellular carcinoma (HCC) patients. A total of 167 patients (50 bridging, 117 palliative) with 245 TARE procedures were assessed. Fourteen patients underwent subsequent liver transplantation (LT). Patients undergoing LT exhibited significantly prolonged progression-free survival (PFS) compared to those with bridging-without-transplant ( p = 0.033). No significant differences were observed between patients with bridging-without-transplant and palliative cases ( p = 0.116). Median overall survival (OS) post-TARE was 16.6 months, with estimated OS rates at 6/12 months of 82.0{\%}/60.5{\%}, respectively. Patients who underwent LT demonstrated statistically significantly longer OS compared to those with bridging-without-transplant ( p = 0.001). No marked outcome distinctions were found between bridging-without-transplant and palliative groups. The findings underscored the superiority of LT over alternative treatments. TARE served as an important component in non-LT scenarios, allowing for subsequent therapeutic options. The study reflected the highly variable and complex situations of patients with HCC, emphasizing the need for further investigations to define an optimal multimodal approach.}, note = {Zweitver{\"o}ffentlichung}, issn = {2072-6694}, doi = {10.3390/cancers16010235}, url = {https://www.db-thueringen.de/receive/dbt_mods_00060380}, url = {http://uri.gbv.de/document/gvk:ppn:614095670}, url = {https://doi.org/10.3390/cancers16010235}, file = {:https://www.db-thueringen.de/servlets/MCRFileNodeServlet/dbt_derivate_00062973/cancers-16-00235.pdf:PDF}, language = {en} }