New method of catheter-port system implantation in hepatic arterial infusion chemotherapy.
BACKGROUND
This report describes a novel method of implantation of the catheter-port system in hepatic arterial infusion chemotherapy, which is the inferior epigastric arterial approach.


METHODS
Using this method, the length of incision is about 3 cm in lower abdomen. The inferior epigastric artery is exposed above the inguinal ligament. The half of the artery is cut, and a vascular sheath is inserted into the external iliac artery along a guide wire. A catheter is inserted into the hepatic artery through the vascular sheath. Coil occlusion of nontarget artery is performed by the technique of interventional radiology. Then the vascular sheath is removed and the catheter is fixed to the inferior epigastric artery. A port is connected to the catheter and placed above the incision in the lower abdomen.


CONCLUSIONS
Using this method, the hip joint can be moved freely and port-related complications are few, which contributes to a good quality of life of patients during the therapy. The inferior epigastric arterial approach may give a benefit to those who are treated with hepatic arterial infusion chemotherapy.
Ikebe
Masahiko
M
Department of Surgery, Fukuoka City Hospital, Fukuoka City, Fukuoka, Japan. mikebeh1@aik-net.com
Itasaka
Hidetoshi
H
Adachi
Eisuke
E
Shirabe
Ken
K
Maekawa
Souichiro
S
Mutoh
Yoichi
Y
Yoshida
Kisaku
K
Takenaka
Kenji
K
D000970:Antineoplastic Agents / Q000008:administration & dosage*; D002408:Catheters, Indwelling; D019074:Epigastric Arteries; D005260:Female; D006801:Humans; D007261:Infusions, Intra-Arterial; D008113:Liver Neoplasms / Q000188:drug therapy*; D008297:Male
D000970:Antineoplastic Agents