title: Percutaneous catheter placement for hepatic arterial infusion chemotherapy.
abstract: 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.
authors.affiliation: Division of Diagnostic Radiology, National Cancer Center, Tokyo, Japan. aria-y3111@mvh.biglobe.ne.jp
authors.forename: Yasuaki
authors.initials: Y
authors.lastname: Arai
authors.forename: Yoshito
authors.initials: Y
authors.lastname: Takeuchi
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Inaba
authors.forename: Hidekazu
authors.initials: H
authors.lastname: Yamaura
authors.forename: Yozo
authors.initials: Y
authors.lastname: Sato
authors.forename: Takeshi
authors.initials: T
authors.lastname: Aramaki
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Matsueda
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Seki
mesh_terms: 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
chemical_list: D000970:Antineoplastic Agents