First experiences in percutaneous arterial chemoembolization of malignant liver lesions by means of real-time CT fluoroscopy.
Computed tomography fluoroscopy (CTF) allows real-time display (continuous imaging) and has been increasingly used in interventional procedures. We wished to demonstrate the usefulness of CTF in chemoembolization of the liver. Twenty-one patients with primary or secondary malignant lesions of the liver underwent CTF-guided chemoembolization after angiographic positioning of a catheter in the hepatic artery. Embolization materials such as Lipiodol and mitomycin C were administered under continuous CT scanning. CTF led to a change of the method (correction of catheter position, application of norepinephrine) in nine of 21 cases. There were no fatal complications.
Kirchner
J
J
Klinik für Radiologische Diagnostik und Nuklearmedizin, Katholisches Marienhospital Herne, Universitätsklinik der Ruhr-Universität Bochum, Hölkeskampring 40, D-44625 Herne, Germany.
Laufer
U
U
Kickuth
R
R
Schilling
E M
EM
Scherf
C
C
Liermann
D
D
D000368:Aged; D000903:Antibiotics, Antineoplastic / Q000008:administration & dosage; D006528:Carcinoma, Hepatocellular / Q000628:therapy*; D016461:Chemoembolization, Therapeutic; D015179:Colorectal Neoplasms / Q000473:pathology; D015251:Epirubicin / Q000008:administration & dosage; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D007459:Iodized Oil / Q000008:administration & dosage; D008113:Liver Neoplasms / Q000556:secondary / Q000628:therapy*; D008297:Male; D016685:Mitomycin / Q000008:administration & dosage; D014057:Tomography, X-Ray Computed
D000903:Antibiotics, Antineoplastic; D015251:Epirubicin; D016685:Mitomycin; D007459:Iodized Oil