title: Differential device performances for hepatic arterial chemotherapy: a technical report on totally implantable pumps and ports for both continuous and bolus infusion.
abstract: Performances of totally implantable infusion systems were analyzed in patients with colorectal liver metastases undergoing intra-arterial treatment. It consisted of 14-day continuous infusion of 5-fluor-2'deoxyuridine with pumps (pump14, 44 patients) or ports fed by external pumps (port14, 34 patients), or bolus infusion of cisplatin (port21, 57 patients) or epirubicin (port7, 22 patients) every 3rd week and weekly, respectively. Toxicity and disease progression were the most common causes of treatment interruption. System failure occurred in 2 pump14, 9 port14, 6 port21 and 2 port7 cases. Pocket problems were most frequent in the pump14 group (30%), whereas catheter- and infusion-related problems were mostly observed in the port14 group (109%). The devices were still functional after 12 months in 92% of pump14, 24% of port14, 65% of port21 and in 78% of port7 patients. Although implantable ports allow adequate infusion periods, in most cases they appear especially suitable for bolus infusions.
authors.affiliation: Registro Nazionale dei Sistemi Impiantabili: Clinica Chirurgica I, Università di Genova, Italia. civa@unige.it
authors.forename: D
authors.initials: D
authors.lastname: Civalleri
authors.forename: F
authors.initials: F
authors.lastname: De Cian
authors.forename: R
authors.initials: R
authors.lastname: Pellicci
authors.forename: N
authors.initials: N
authors.lastname: Balletto
authors.forename: G
authors.initials: G
authors.lastname: Simoni
authors.forename: M
authors.initials: M
authors.lastname: Cosimelli
authors.forename: G
authors.initials: G
authors.lastname: Mondini
authors.forename: P
authors.initials: P
authors.lastname: Bignami
authors.forename: P P
authors.initials: PP
authors.lastname: Cagol
mesh_terms: D000328:Adult; D000368:Aged; D000970:Antineoplastic Agents / Q000008:administration & dosage*; D015179:Colorectal Neoplasms / Q000188:drug therapy*; D005260:Female; D005467:Floxuridine / Q000008:administration & dosage; D006801:Humans; D015918:Infusion Pumps, Implantable; D007261:Infusions, Intra-Arterial; D008113:Liver Neoplasms / Q000188:drug therapy* / Q000556:secondary*; D008297:Male; D008875:Middle Aged
chemical_list: D000970:Antineoplastic Agents; D005467:Floxuridine