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.
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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)
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Chemical References |
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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)
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