Balloon-occluded TACE

TACE procedures are performed with the use of microcatheters for accurate and selective delivery of chemotherapy. Microcatheters with distal micro-balloon are used for both cTACE and DEM-TACE, allowing to obtain a flow redistribution toward the tumor with consequent advantages on oncological efficacy. This chapter illustrates the evidence about this technique’s performance compared with standard microcatheter procedures and gives tips and tricks for a successful balloon-occluded TACE. Details for proper microcatheter placement, for performing correct priming and an effective inflation of the micro-balloon (explaining its relation to balloon-occluded arterial stump pressure), and to understand the endpoint of the procedure are discussed.