Minimally invasive catheter implantation for regional chemotherapy of the liver: A new percutaneous transsubclavian approach

Journal Article · Sat Mar 15 04:00:00 EST 1997 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S002709900120· OSTI ID:21080232

Wacker, Frank K ^[1]; Boese-Landgraf, Jochen ^[2]; Wagner, Armin; Albrecht, Dirk ^[3]; Wolf, Karl-Juergen ^[1]; Fobbe, Franz ^[4]

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1. Free University Berlin, Department of Radiology, Benjamin Franklin University Hospital (Germany)
2. Chemnitz Hospital, Department of Surgery (Germany)
3. Free University Berlin, Department of Surgery, Benjamin Franklin University Hospital (Germany)
4. Auguste-Viktoria Hospital, Department of Radiology (Germany)

Purpose. Development of a percutaneously implantable catheter system for regional chemotherapy of liver metastases and its application in patients with surgically implanted but dislocated catheters. Methods. Thirty-three patients with liver metastases of colorectal tumors were submitted to percutaneous puncture of the subclavian artery and insertion of a catheter whose tip was placed in the proper hepatic artery and whose end was subcutaneously connected with an infusion pump. Results. The mean duration of therapy via the percutaneously inserted catheter was 27 weeks ({+-}14 weeks). The most frequent complication was disconnection of the therapy catheter from the tube of the infusion pump. Eighty percent of all complications were corrected by reintervention. The therapy drop-out rate due to catheter-associated complications was 9%. Conclusion. Percutaneous insertion of a catheter for regional chemotherapy of the liver is a relatively uncomplicated method with high patient acceptance and simple access for reintervention.

• OSTI ID: 21080232
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 2 Vol. 20; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
CHEMOTHERAPY
INFUSION
LIVER
METASTASES
NEOPLASMS
PATIENTS