Rupture of infected pseudoaneurysms in patients with implantable ports for intra-arterial infusion chemotherapy.
Intra-arterial hepatic chemotherapy via implantable reservoirs is being used increasingly. In our department, five patients have undergone emergency surgery since 1991 because of rupture of an infected pseudo-aneurysm at the site of entry of the catheter. Surgical procedures included removal of the catheter and the reservoir, and closure of the affected artery with or without reconstruction. Of these patients, three (60%) died from uncontrollable sepsis. The poor prognosis emphasizes the need, in patients with carcinoma, for strict aseptic technique and hemostasis at the time of catheter placement, and for careful device maintenance.
Shindo
S
S
Second Department of Surgery, Yamanashi Medical University, Japan.
Arai
H
H
Kubota
K
K
Iyori
K
K
Ishimoto
T
T
Kobayashi
M
M
Suzuki
O
O
Kamiya
K
K
Tada
Y
Y
Sakamoto
H
H
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000601:surgery*; D000785:Aneurysm, Infected / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000601:surgery*; D006528:Carcinoma, Hepatocellular / Q000628:therapy*; D016461:Chemoembolization, Therapeutic; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D015918:Infusion Pumps, Implantable; D008113:Liver Neoplasms / Q000556:secondary / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000628:therapy; D013203:Staphylococcal Infections / Q000601:surgery*; D013348:Subclavian Artery / Q000601:surgery; D014057:Tomography, X-Ray Computed