Application of side-hole catheter technique for transradial arterial chemoembolization in patients with hepatocellular carcinoma
| Autor: | Xiao-xi Meng, Hong-chao Liu, Ya-Feng Gu, Weihua Dong, Xi Li, Hai-lin Jiang, Hua-qiang Liao |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Carcinoma Hepatocellular Left gastric artery Urology Femoral artery 030218 nuclear medicine & medical imaging Catheterization 03 medical and health sciences 0302 clinical medicine medicine.artery medicine Carcinoma Humans Radiology Nuclear Medicine and imaging In patient Radial artery Chemoembolization Therapeutic Aged Retrospective Studies Radiological and Ultrasound Technology business.industry Liver Neoplasms Gastroenterology Middle Aged medicine.disease Surgery Catheter medicine.anatomical_structure Treatment Outcome 030220 oncology & carcinogenesis Hepatocellular carcinoma Female business Artery |
| Zdroj: | Abdominal radiology (New York). 44(9) |
| ISSN: | 2366-0058 |
| Popis: | The purpose of this study was to retrospectively evaluate the efficacy and safety of side-hole catheter technique for transarterial chemoembolization (TACE) via transradial artery access (TRA) in patients with hepatocellular carcinoma. From November 2015 to August 2017, a total of 1040 TACE procedures were performed via TRA for hepatocellular carcinoma. In 10 (1%) of these 1040 TACE procedures via TRA, conventional microcatheter technique (CMT) failed and side-hole catheter technique was attempted. Ten procedures of selective catheterizations by CMT failed due to the poor stability of the angiographic catheters or the target artery arising from the very proximal portion of the parent artery. These arteries included the right inferior phrenic artery in eight patients, one left gastric artery, and one right renal capsular artery. Cobra or MPA catheter with the microcatheter through the side-hole yielded a technical success rate of 100%. No procedure-related complications were observed. The mean time required to catheterize the target artery with the side-hole catheter was 9.5 min (5–15 min). Side-hole catheter technique may enable the completion of chemoembolization in cases that a potential tumor-feeding vessel cannot be catheterized by means of CMT for TACE via TRA. |
| Databáze: | OpenAIRE |
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