[A study of infusional port re-insertion in patients with liver metastasis].

Abstract

We evaluated the importance and usefulness of re-insertion of the intra-arterial infusion catheter in 10 patients with liver metastasis who showed problems in the catheter or system during intra-arterial infusion chemotherapy. The route of re-insertion was laparotomy-->left subclavian method in 3 patients, left subclavian-->left subclavian method in 5, and left subclavian-->femoral method in 2. The cause of re-insertion was dislocation in 5 patients, obstruction of the system in 4, and obstruction of CHA in 1. In the patients showing dislocation, re-insertion was performed after a mean of 4 months, and CEA improvement and direct effects evaluated by imaging techniques were marked, suggesting good indication. In the patients showing system obstruction or CHA obstruction, re-insertion was performed after a mean of 8.6 months, and CEA improvement and direct effects were less than those in the patients showing dislocation. Of the 10 patients who underwent re-insertion, 5 have survived to the present for 13-20 months (mean, 17 months). The prognosis of liver metastasis may be improved by active re-insertion of the intra-arterial infusion catheter.

• Authors: H Ishikawa, K Kajiwara, T Nishida, F Kubota, H Minami, N Itoyanagi, F Akama, S Narimatu, Y Nakamura, Y Ushimi
• Journal: Gan to kagaku ryoho. Cancer & chemotherapy (Gan To Kagaku Ryoho) Vol. 20 Issue 11 Pg. 1499-502 (Aug 1993) ISSN: 0385-0684 [Print] Japan
• PMID: 8373206 (Publication Type: English Abstract, Journal Article)

Chemical References

• Antineoplastic Agents

Topics

• Aged
• Aged, 80 and over
• Antineoplastic Agents (administration & dosage)
• Catheters, Indwelling
• Colonic Neoplasms (pathology)
• Equipment Failure
• Female
• Humans
• Infusion Pumps, Implantable
• Infusions, Intra-Arterial
• Liver Neoplasms (drug therapy, secondary)
• Male
• Middle Aged
• Prognosis
• Stomach Neoplasms (pathology)