title: Image-guided percutaneous gastrostomy using modified large balloon as access target.
abstract: OBJECTIVE
  To develop a novel percutaneous radiologic gastrostomy using a large-bore, rupture-free, balloon (RFB) catheter in patients with a swallowing disturbance due to a neurological disorder.
  
  
  METHODS
  Consecutive patients underwent percutaneous gastrostomy placement using a balloon catheter with a 5.0-cm 5.0-cm, large-bore, rupture-free balloon on the tip between August 2010 and December 2011. The large balloon in the stomach was percutaneously punctured by the needle, the guide wire was inserted through the abdominal wall, and the push-type gastrostomy tube was finally inserted over the guide wire via the oral cavity. Technical success and complications were evaluated.
  
  
  RESULTS
  Fifteen patients (10 men, 5 women; age range, 47-82 years; mean age, 71.7 years) who had cerebral infarction (n=8), intracerebral hemorrhage (n=4), and subarachnoid hemorrhage (n=3) underwent percutaneous radiologic gastrostomy. The procedures were technically successful in all patients. The mean procedure time was 34+- 9 (SD) min (range, 20-47 min). The average follow-up was 158 days (range, 14 - 655 days). No major complications related to the procedure were encountered.
  
  
  CONCLUSIONS
  Image-guided gastrostomy using a large-bore RFB catheter is an effective method of gastric feeding in patients with swallowing disturbance due to a neurological disorder.
authors.forename: Takeshi
authors.initials: T
authors.lastname: Fujita
authors.forename: Masahiro
authors.initials: M
authors.lastname: Tanabe
authors.forename: Kensaku
authors.initials: K
authors.lastname: Shimizu
authors.forename: Etsushi
authors.initials: E
authors.lastname: Iida
authors.forename: Naofumi
authors.initials: N
authors.lastname: Matsunaga
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002561:Cerebrovascular Disorders / Q000150:complications; D003287:Contrast Media / Q000008:administration & dosage; D004867:Equipment Design; D005260:Female; D005471:Fluoroscopy; D005774:Gastrostomy / Q000295:instrumentation*; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D015641:Radiography, Interventional; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D003287:Contrast Media