Document Detail


Value of Micronester coils in port-catheter implantation for continuous hepatic arterial infusion chemotherapy with fixed catheter tip method.
MedLine Citation:
PMID:  17619883     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To retrospectively evaluate the use of Micronester coils in port-catheter implantation with the fixed catheter tip method in comparison with other previously used coils. The cohort of this study was 143 consecutive patients with unresectable advanced liver cancer for whom a port-catheter system was percutaneously implanted. In the most recent 32 patients, Micronester coils were used for catheter tip fixation. Details of embolic agents for fixation, persistent blood flow beyond the distal end of the indwelling catheter, and complications were compared between cases without and with Micronester coils. In all, percutaneous port-catheter placement was successful. Mean number of coils used for fixation was 4.2 without Micronester coils vs. 2.5 with Micronester coils. N-butyl cyanoacrylate (NBCA)-Lipiodol was additionally used for catheter tip fixation in 85.6% of 111 procedures without Micronester coils and in 50% of 32 using Micronester coils. The gastroduodenal artery beyond the distal end was not detected at the final examination after any procedure. Catheter dislocation occurred in five and hepatic arterial obstruction or severe stenosis in eight. The number of coils used and necessity of NBCA-Lipiodol could be decreased with usage of Micronester coils without decreasing fixation ability compared to other coils.
Authors:
Takuji Yamagami; Takeharu Kato; Tatsuya Hirota; Rika Yoshimatsu; Tomohiro Matsumoto; Robert I White; Tsunehiko Nishimura
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2007-07-10
Journal Detail:
Title:  European radiology     Volume:  18     ISSN:  0938-7994     ISO Abbreviation:  Eur Radiol     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2008-01-31     Completed Date:  2008-05-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9114774     Medline TA:  Eur Radiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  152-7     Citation Subset:  IM    
Affiliation:
Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-chyo, Kawaramachi-Hirokoji, Kamigyo, Kyoto, 602-8566, Japan. yamagami@koto.kpu-m.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Angiography, Digital Subtraction
Antineoplastic Agents / administration & dosage*
Carcinoma, Hepatocellular / drug therapy*,  radiography,  secondary
Catheters, Indwelling* / adverse effects
Chi-Square Distribution
Contrast Media
Embolization, Therapeutic / instrumentation*
Female
Humans
Infusions, Intra-Arterial
Liver Neoplasms / drug therapy*,  radiography,  secondary
Male
Middle Aged
Retrospective Studies
Treatment Outcome
Chemical
Reg. No./Substance:
0/Antineoplastic Agents; 0/Contrast Media

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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