A useful maneuver for hepatic arterial catheterization in patients with metastatic hepatic disease and abnormal vascular anatomy.
The placement of catheters for hepatic arterial perfusion in patients with metastatic hepatic disease and unusual vascular anatomy can be problematic. Many options have been previously described, none of them entirely satisfactory or without risk. We have described herein the use of a saphenous vein graft that is anastomosed to the aberrant hepatic artery as a versatile catheter conduit, which is quick, easy and safe to construct.
Goldberg
J A
JA
University Department of Surgery, Royal Infirmary, Glasgow, Scotland.
Leiberman
D P
DP
McArdle
C S
CS
D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D002406:Catheterization, Peripheral / Q000379:methods*; D010478:Chemotherapy, Cancer, Regional Perfusion / Q000379:methods*; D015179:Colorectal Neoplasms; D006499:Hepatic Artery / Q000002:abnormalities*; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary / Q000628:therapy*; D008297:Male; D012501:Saphenous Vein / Q000637:transplantation