[Various methods of catheter placement in hepatic arterial infusion--technique of catheter placement via a femoral artery].
A comparative analysis of the individual techniques was performed on a total of 106 cases undergoing various methods of catheter placement in hepatic infusion. The comparison of laparatomy (n = 44) with a percutaneous method (n = 62) disclosed a higher incidence of peptic ulcer in the latter. When two modes of percutaneous approach, including a trans-left subclavian arterial method (n = 36) and a trans-femoral arterial method (n = 26), were compared, a shorter average catheterization time (approximately 70 minutes) and a higher selective insertion rate (92.3%) were noted in the trans-femoral approach. For these reasons, our department adopts the trans-femoral method as the percutaneous method of choice. It is advisable for further studies to be made in order to clarify indications for the individual techniques and for anti-complication measures.
Dept. of Surgery, Tokyo Medical College.
T
T
Aoki
K
K
Kimura
Y
Y
Koyanagi
T
T
Aoki
M
M
Kusama
T
T
Ashizawa
S
S
Takagi
T
T
Kakuta
T
T
Matsunaga
D
D
Yasuda
D002406:Catheterization, Peripheral / Q000379:methods*; D005263:Femoral Artery; D006499:Hepatic Artery; D006801:Humans; D007261:Infusions, Intra-Arterial