CT arterial portography and CT arteriography with a triple-lumen balloon catheter.
OBJECTIVE
To evaluate the usefulness of the triple-lumen balloon catheter in the serial performance of CT arterial portography (CT-AP) and CT arteriography (CT-A).


METHODS
A combined CT-AP and CT-A examination of 58 patients was carried out in which a cobra-type triple-lumen balloon catheter was used. CT-AP was performed by injecting contrast medium either into the splenic artery through a side-hole in the catheter proximal to the balloon inflated in the common hepatic artery, or into the superior mesenteric artery through an end-hole in the catheter. Then CT-A was serially performed by delivering contrast medium either to the common hepatic artery or the proper hepatic artery from the end-hole, or to the accessory right hepatic artery through a side-hole proximal to the inflated balloon.


RESULTS
Sufficient CT-APs were obtained in 53 of the 58 patients (91%), CT-A in 42 (72%), and both in 42 (72%). Incomplete CT-AP was due to technical failure or anatomical anomaly, as was incomplete CT-A. No complications were seen.


CONCLUSIONS
The triple-lumen balloon catheter technique is useful and convenient in the serial performance of CT-AP and CT-A.
Murakami
T
T
Department of Radiology, Osaka University Medical School, Suita-City, Japan.
Oi
H
H
Hori
M
M
Kim
T
T
Takahashi
S
S
Matsushita
M
M
Narumi
Y
Y
Nakamura
H
H
D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging*; D002404:Catheterization / Q000295:instrumentation*; D003287:Contrast Media; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007479:Iopamidol; D008113:Liver Neoplasms / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D011172:Portography / Q000295:instrumentation / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000295:instrumentation* / Q000379:methods
D003287:Contrast Media; D007479:Iopamidol