Technetium-99m-labeled macroaggregated albumin arteriography for detection of abnormally positioned arterial catheters during infusion chemotherapy

Journal Article · Wed Feb 15 04:00:00 EST 1984 · Cancer (Philadelphia); (United States)

DOI:https://doi.org/10.1002/1097-0142(19840215)53:4<858::AID-CNCR2820530407>3.0.CO;2-4· OSTI ID:6501036

Bledin, A G; Kim, E E; Harle, T S; Haynie, T P; Chuang, V P

The arterial catheter position of 500 courses of intra-arterial chemotherapy were monitored by intraarterially introduced Technetium-99m macroaggregated albumin (MAA) particles. Seventeen instances of abnormally positioned catheters (3.4%) were detected by MAA arterial perfusion (MAAAP). All these abnormally positioned catheters were subsequently repositioned resulting in improved tumor perfusion. Plain radiographs obtained in eight instances failed to reveal the abnormally positioned catheter in four, while all eight of these abnormally positioned catheters were detected by MAAAP. Abnormally positioned catheters detected by MAAAP were either immediately after arterial catheter placement (nine instances) or during the course of chemotherapy (eight instances). Of the right instances of displaced catheters during intra-arterial chemotherapy, six instances were accompanied by clinical signs and symptoms suggestive of displaced catheter. Arteriovenous shunting was documented in 5 of 12 hepatic MAAAP studies as evidenced by increased lung activity. When the catheters were displaced in these cases, the lung activity changed: completely disappearing in two instances; decreasing in two instances and remaining unchanged in one.

• Research Organization: Univ. of Texas, Houston
• OSTI ID: 6501036
• Journal Information: Cancer (Philadelphia); (United States), Journal Name: Cancer (Philadelphia); (United States) Vol. 53:4; ISSN CANCA
• Country of Publication: United States
• Language: English

Related Subjects

550601* -- Medicine-- Unsealed Radionuclides in Diagnostics
62 RADIOLOGY AND NUCLEAR MEDICINE
ALBUMINS
ANIMAL TISSUES
ARTERIES
BETA DECAY RADIOISOTOPES
BETA-MINUS DECAY RADIOISOTOPES
BIOMEDICAL RADIOGRAPHY
BLOOD VESSELS
BODY
CARDIOVASCULAR SYSTEM
CHEMOTHERAPY
DIAGNOSTIC TECHNIQUES
DISEASES
HOURS LIVING RADIOISOTOPES
INJECTION
INTAKE
INTERMEDIATE MASS NUCLEI
ISOMERIC NUCLEI
ISOMERIC TRANSITION ISOTOPES
ISOTOPE APPLICATIONS
ISOTOPES
LABELLED COMPOUNDS
MEDICINE
MONITORING
NEOPLASMS
NUCLEAR MEDICINE
NUCLEI
ODD-EVEN NUCLEI
ORGANIC COMPOUNDS
ORGANS
PERFUSED TISSUES
PROTEINS
RADIOISOTOPES
RADIOLOGY
TECHNETIUM 99
TECHNETIUM ISOTOPES
THERAPY
TISSUES
TRACER TECHNIQUES
YEARS LIVING RADIOISOTOPES