We performed compulsory superselective transcatheter arterial emboliza
tion on local hypovascular liver metastases under balloon occlusion us
ing a l-mm (3 F) coaxial microballoon catheter in 2 cases. One case wa
s a metastasis from breast cancer (maximum diameter 5.5 cm) at segment
7. The other case comprised metastases from rectal cancer (maximum di
ameter 8 cm) at segments 7 and 8. Absolute ethanol (50%) mixed with Li
piodol (50%) was used for embolization. No major treatment-related com
plications occurred. No local recurrence was observed in either case i
n follow-up CT and MR studies of up to 16 and 9 months respectively. T
his technique may thus be applied as an alternative to surgical resect
ion in the treatment of local hypovascular liver tumors.