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Brain infarction after percutaneous implantation of port-catheter system via the left subclavian artery.

Abstract
The aim of this study was to evaluate the incidence of brain infarction after percutaneous implantation of a port-catheter system via the left subclavian artery for hepatic arterial infusion chemotherapy. In 90 patients with inoperable liver cancer, a port-catheter system was implanted via the left subclavian artery. In 5 patients (5.6%) brain infarction occurred after port-catheter implantation. In one patient (1.1%) thrombi formed around the catheter, as confirmed by autopsy. The risk of brain infarction should be taken into consideration when a trans-left subclavian arterial access route is used for the percutaneous implantation of a port-catheter system for hepatic arterial infusion chemotherapy.
AuthorsT Hirota, T Yamagami, O Tanaka, S Iida, T Kato, T Nakamura, K Ishihara, T Nishimura
JournalThe British journal of radiology (Br J Radiol) Vol. 75 Issue 898 Pg. 799-804 (Oct 2002) ISSN: 0007-1285 [Print] England
PMID12381688 (Publication Type: Journal Article)
Topics
  • Adult
  • Aged
  • Aged, 80 and over
  • Brain Infarction (etiology, pathology)
  • Catheterization (adverse effects, methods)
  • Catheters, Indwelling (adverse effects)
  • Female
  • Humans
  • Liver Neoplasms (drug therapy)
  • Magnetic Resonance Angiography (methods)
  • Male
  • Middle Aged
  • Subclavian Artery
  • Tomography, X-Ray Computed (methods)

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