PMID: 9540905Apr 16, 1998Paper

Complications and technical limitations of hepatic arterial infusion catheter placement for chemotherapy

Journal of Vascular and Interventional Radiology : JVIR
T G HabbeM A Tempero

Abstract

To determine the rate of complications associated with hepatic arterial infusion (HAI) catheter placement, as well as technical success related to liver perfusion. The authors reviewed 44 patients who underwent 106 HAI catheter placements, including 15 men and 29 women with an average age of 55 years (range, 32-82 years). One to nine placements were performed per patient with 61 (58%) via the left brachial artery, 40 (38%) via the right femoral artery, and five (4%) via the left femoral artery. Chemoinfusion lasted 4 days, with initial catheter placement assessed on technetium-99m macroaggregated albumin (MAA) perfusion scans, as well as daily abdominal radiographs. One hundred attempted hepatic arterial catheter placements were completed. Liver perfusion was global in 66 (66%) cases, in the right lobe only in 28 (28%) cases, and in the left lobe only in six (6%) cases. Eight (8%) had gastrointestinal (GI) tract perfusion; this was eliminated in seven cases (7%) after catheter repositioning. Forty-six (43%) placement attempts required embolization of 62 GI vessels to preclude GI chemoinfusion. Complications included one cerebrovascular accident (related to removal of a left brachial catheter), eight brachial artery thromboses (...Continue Reading

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Citations

Sep 3, 2004·Current Treatment Options in Oncology·Jonathan Whisenant, Alan Venook
Jul 5, 2003·American Journal of Surgery·Masahiko IkebeKenji Takenaka
Apr 6, 2004·The Surgical Clinics of North America·Dominique EliasMichel Ducreux
Nov 23, 2006·AJR. American Journal of Roentgenology·Toshihiro IguchiTakayuki Hayashi
Feb 22, 2007·AJR. American Journal of Roentgenology·Sakae NagaokaMichio Sata
Mar 4, 2014·Journal of Visceral Surgery·T De Baere, P Mariani
Jun 18, 2011·Abdominal Imaging·Thierry de Baere, Frederic Deschamps
Jan 31, 2013·Radiology·Andreas H MahnkenThierry de Baère
Oct 30, 2010·Journal of Vascular and Interventional Radiology : JVIR·Frederic DeschampsThierry de Baere
Jan 7, 2004·Clinical Journal of Oncology Nursing·Fedricker Diane Barber, Lou Ellen Fabugais-Nazario
Jan 14, 2003·Techniques in Vascular and Interventional Radiology·Fumikiyo GanahaTetsuhisa Yamada
Jan 10, 2003·Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology·Shunichi ShiozawaKenji Ogawa
Apr 8, 2021·Journal of Radiological Protection : Official Journal of the Society for Radiological Protection·Jean IzaaryeneMarjorie Ferre

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