[A device for hepatic arterial catheterization using saphenous vein graft].
We performed regional arterial infusion chemotherapy for hepatocellular carcinoma by retaining a hepatic arterial reservoir. The catheters were placed via gastroduodenal artery and positioned at the junction with common hepatic artery during operation. But we encountered many complications and did not perform regional arterial infusion chemotherapy. This time we cannulated through the saphenous vein graft by which hepatic perfusion was maintained by the superior mesenteric artery; we did not cannulate through the common femoral artery using a subcutaneously implanted reservoir. Venous arterial anastomosis is performed with interrupted (7-0 Prolene) vascular suture. Postoperative angiography by the reservoir showed total hepatic perfusion. There have been no instances of hemorrhage, thrombosis, or catheter dislodgement with this technique. Duration of follow-up varied from 2 to 7 months.
Ohgami
N
N
Second Dept. of Surgery, Kurume University School of Medicine.
Kosuga
K
K
Okuda
K
K
So
H
H
Shimada
S
S
Saitsu
H
H
Kinoshita
H
H
Eriguchi
N
N
Nakayama
T
T
Ohishi
K
K
D006528:Carcinoma, Hepatocellular / Q000188:drug therapy* / Q000601:surgery; D002408:Catheters, Indwelling; D006499:Hepatic Artery; D006801:Humans; D015918:Infusion Pumps, Implantable; D007261:Infusions, Intra-Arterial; D008113:Liver Neoplasms / Q000188:drug therapy* / Q000601:surgery; D012501:Saphenous Vein / Q000637:transplantation*