A simplified method for continuous hepatic arterial port-catheter system placement not requiring catheter end-hole occlusion.
OBJECTIVE
To evaluate the efficacy of hepatic port-catheter system placement without distal catheter tip occlusion or gastroduodenal artery embolization distal to the catheter tip.


METHODS
A port-catheter system was percutaneously implanted in 29 patients (16 men, 13 women; mean age 65.6 years) with unresectable liver cancer. Persistent blood flow through the end hole of the catheter was verified immediately and 1-10 days after catheter placement.


RESULTS
In all cases, percutaneous port-catheter placement was successfully performed. In seven of 29 (24.1%) patients, flow through the end hole of the catheter was verified immediately after the procedure. However, no flow was seen 1-10 days after the procedure.


CONCLUSIONS
It is not necessary to occlude the end hole of the catheter tip and embolize the gastroduodenal artery beyond the catheter tip when placing a port-catheter system for repeated hepatic arterial infusion chemotherapy.
Yamagami
T
T
Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan. yamagami@koto.kpu-m.ac.jp
Kato
T
T
Hirota
T
T
Yoshimatsu
R
R
Matsumoto
T
T
Nishimura
T
T
D000368:Aged; D000369:Aged, 80 and over; D002406:Catheterization, Peripheral / Q000379:methods*; D002408:Catheters, Indwelling; D004867:Equipment Design; D005240:Feasibility Studies; D005260:Female; D006499:Hepatic Artery; D006801:Humans; D007263:Infusions, Parenteral / Q000379:methods; D008113:Liver Neoplasms / Q000188:drug therapy; D008297:Male; D008875:Middle Aged