Percutaneous catheter placement for hepatic arterial infusion chemotherapy.
Hepatic arterial infusion chemotherapy employs a hepatic artery catheter as a conduit to achieve a high concentration of antineoplastic agents to liver tumors. Historically, this catheter placement has been performed via laparotomy. However, it may now be performed using less-invasive percutaneous image guided procedures. There are many anatomical hepatic arterial variations and complicated blood flow patterns. Various techniques are required to ensure high concentration of antineoplastic agents in liver tumors. These techniques are composed of arterial redistribution by embolization, percutaneous catheter placement applying "tip-fixation method," and evaluation and management of flow patterns that reflect drug distribution. The role of interventional radiologists in hepatic arterial infusion chemotherapy is to create and manage the access to achieve these objectives.
Arai
Yasuaki
Y
Division of Diagnostic Radiology, National Cancer Center, Tokyo, Japan. aria-y3111@mvh.biglobe.ne.jp
Takeuchi
Yoshito
Y
Inaba
Yoshitaka
Y
Yamaura
Hidekazu
H
Sato
Yozo
Y
Aramaki
Takeshi
T
Matsueda
Kiyoshi
K
Seki
Hiroshi
H
D015901:Angiography, Digital Subtraction; D000970:Antineoplastic Agents / Q000008:administration & dosage*; D002408:Catheters, Indwelling; D006499:Hepatic Artery; D006801:Humans; D007261:Infusions, Intra-Arterial; D008113:Liver Neoplasms / Q000098:blood supply / Q000188:drug therapy*; D015641:Radiography, Interventional; D014057:Tomography, X-Ray Computed
D000970:Antineoplastic Agents