Percutaneous Implantation of a Microcatheter-Port System for Hepatic Arterial Infusion Chemotherapy of Unresectable Liver Tumors: Technical Feasibility, Functionality, and Complications.
Fiche publication
Date publication
février 2021
Journal
Diagnostics (Basel, Switzerland)
Auteurs
Membres identifiés du Cancéropôle Est :
Pr GHIRINGHELLI François, Pr MANFREDI Sylvain, Pr LOFFROY Romaric
Tous les auteurs :
Chevallier O, Mvouama S, Pellegrinelli J, Guillen K, Manfredi S, Ghiringhelli F, Falvo N, Midulla M, Loffroy R
Lien Pubmed
Résumé
To evaluate the feasibility and safety of percutaneously implanted arterial port catheter systems for hepatic arterial infusion of chemotherapy (HAI) in patients with unresectable liver malignancies. From October 2010 to August 2018, arterial port catheters for HAI were percutaneously implanted in 43 patients with unresectable liver malignancies. Three different catheter placement techniques were compared: a conventional end-hole catheter placed in the common hepatic artery (technique 1, = 16), a side-hole catheter with the tip fixed in the gastroduodenal artery (technique 2, = 18), and a long-tapered side-hole catheter with the tip inserted distally in a segmental hepatic artery (technique 3, = 6). Catheter implantation was successful in 40 (93%) of the 43 patients. Complications related to catheter placement were observed in 10 (23%) patients; 5 (83%) of the 6 major complications were resolved, as well as all 4 minor complications. Catheter migration and occlusion occurred in 9 (22.5%) patients. Catheter migration was more frequent with technique 1 ( = 6) than with technique 2 ( = 1), although the difference was not significant ( = 0.066). Percutaneous arterial port catheter implantation for HAI is highly feasible and carries a low risk of complications.
Mots clés
hepatic arterial infusion, intraarterial chemotherapy, liver cancer, percutaneous implantation, port catheter
Référence
Diagnostics (Basel). 2021 Feb 26;11(3):