[Radiological-guided liver-port implantation: Evaluation, technical approach, interventional procedure and follow up].
Radiological-guided liver-port implantation: Evaluation, technical approach, interventional procedure and follow up.


OBJECTIVE
Description of evaluation, technical approach, interventional procedure and follow up of radiological-guided liver-port implantation.


METHODS
Percutaneous implantation of a liver-port system was performed in twelve patients through a transfemoral approach and in one patient via the superficial epigastric artery after surgical exploration. In four patients we used port systems which are accessible via ventral puncture. Strecker-port systems were implanted in the remaining nine patients.


RESULTS
The liver-port implantation was technically successful in all cases. No dislocation of the distal catheter tip, no thrombosis of the hepatic or splenic artery, no leakage near connections of the catheters or connections of catheter and port system and no thrombosis of the femoral arteries were observed. Correction of a kink in the catheter was performed in one patient. Another patient showed prolonged healing of the subcutaneous pocket.


CONCLUSIONS
Interventional liver-port implantation is a safe procedure and leads to good clinical results. From the view of the radiologist the Strecker-system shows a good performance. The approach via the superficial epigastric artery demands excellent interdisciplinary cooperation.
Puls
R
R
Klinik für Strahlenheilkunde, Campus Virchow-Klinikum, Germany. puls@charite.de
Stroszczynski
C
C
Hildebrandt
B
B
Amthauer
H
H
Podrabsky
P
P
Hidajat
N
N
Riess
H
H
Schlag
P
P
Hosten
N
N
D000792:Angiography; D000970:Antineoplastic Agents / Q000008:administration & dosage*; D006528:Carcinoma, Hepatocellular / Q000098:blood supply / Q000188:drug therapy*; D002406:Catheterization, Peripheral / Q000295:instrumentation; D002408:Catheters, Indwelling; D015179:Colorectal Neoplasms / Q000098:blood supply / Q000188:drug therapy*; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D007261:Infusions, Intra-Arterial; D008113:Liver Neoplasms / Q000098:blood supply / Q000188:drug therapy* / Q000556:secondary*; D018810:Magnetic Resonance Angiography; D008297:Male
D000970:Antineoplastic Agents