[Surgical technics for implantation of hepatic intra-arterial catheters for local chemotherapy. Experience with 42 cases].
Based on the experience of 42 cases of surgical implantation of hepatic intra-arterial catheters (HIAC) for local chemotherapy, the techniques used are analyzed principally as a function of anatomical variations of the hepatic artery. A conventional procedure (HIAC implanted into gastroduodenal artery) was performed in 60% of cases, while in 26% of patients this was possible only after section of a right and/or left hepatic artery. Atypical implantation was necessary in 14% of cases to ensure complete perfusion of liver. The different methods employed and the reasons for their choice are discussed.
D000328:Adult; D000368:Aged; D002408:Catheters, Indwelling; D005260:Female; D006499:Hepatic Artery / Q000033:anatomy & histology; D006801:Humans; D007261:Infusions, Intra-Arterial / Q000295:instrumentation*; D008113:Liver Neoplasms / Q000188:drug therapy* / Q000556:secondary; D008297:Male; D008722:Methods; D008875:Middle Aged
Techniques chirurgicales d'implantation de cathéters intra-artériels hépatiques pour chimiothérapie locale. Expérience de 42 cas.