Use of a catheter with a large side hole for selective catheterization of the inferior phrenic artery.
The authors report the use of a catheter with a large side hole in the catheterization of the right inferior phrenic artery (IPA) arising from the proximal portion of the celiac trunk. A 5-F catheter with a side hole on either the top or the right side of the superior portion near the tip was used in five patients with hepatocellular carcinoma fed by the right IPA, which could not be selected by a conventional coaxial technique. In all patients, a 3-F microcatheter was successfully advanced into the right IPA through the side hole of this catheter introduced into the celiac artery or the common hepatic artery.
Miyayama
S
S
Department of Diagnostic Radiology, Fukuiken Saiseikai Hospital, 7-1, Funibashi, Wadanaka-cho, Fukui 918-8503, Japan.
Matsui
O
O
Akakura
Y
Y
Yamamoto
T
T
Fujinaga
Y
Y
Koda
W
W
Kawai
K
K
Notsumata
K
K
Toya
D
D
Tanaka
N
N
D000368:Aged; D000369:Aged, 80 and over; D006528:Carcinoma, Hepatocellular / Q000098:blood supply / Q000628:therapy*; D002404:Catheterization / Q000295:instrumentation*; D003964:Diaphragm / Q000098:blood supply*; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000098:blood supply / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome