Occlusion of the Left Superficial Femoral Artery During Hepatic Arterial Infusion of Chemotherapy for Liver Metastases from Colon Cancer 18 Months After the Implantation of a Port System: a Case Report

Imai, Reiko; Ito, Kazuki; Ishigami, Naoyuki; Oba, Noriyuki; Nakajima, N.

doi:10.1093/jjco/hyf010

Cited by 3 publications

(1 citation statement)

References 12 publications

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“…Complications caused by the port system include migration of the indwelling catheter, catheter occlusion because of thrombus formation, catheter kinking, catheter-associated bloodstream infections, fibrin sheath formation, the port turning inside-out, and stenosis, occlusion, or pseudoaneurysm of the blood vessel in which the catheter is inserted [ 89 , 90 , 91 , 92 , 93 ]. In most cases, invasive treatments such as removing or replacing the catheter system are necessary.…”

Section: What Are the Complications And Treatments Of Haic With A Por...mentioning

confidence: 99%

Clinical Practice Guidelines for Hepatic Arterial Infusion Chemotherapy with a Port System Proposed by the Japanese Society of Interventional Radiology and Japanese Society of Implantable Port Assisted Treatment

et al. 2022

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Hepatocellular carcinoma is one of the leading causes of cancer-related death not only in Japan, but also worldwide. In the advanced stage, hepatic arterial infusion chemotherapy (HAIC) is one of the most commonly used treatment options for liver cancer in Japan and implantation of a catheter system (called a port system) in the body is a treatment method that has evolved mainly in Japan. The Guideline Committee of the Japanese Society of Interventional Radiology and the Japanese Society of Implantable Port Assisted Treatment jointly developed clinical practice guidelines for HAIC with a port system to ensure its appropriate and safe performance and these were published in Japanese in 2018. We have now written an updated English version of the guidelines with the aim of making this treatment widely known to experts around the world. In this article, the evidence, method, indication, treatment regimen, and maintenance of the system are summarized.

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Section: What Are the Complications And Treatments Of Haic With A Por...mentioning

confidence: 99%

Clinical Practice Guidelines for Hepatic Arterial Infusion Chemotherapy with a Port System Proposed by the Japanese Society of Interventional Radiology and Japanese Society of Implantable Port Assisted Treatment

et al. 2022

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et al. 2002

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Cerebral embolism is one of the major complications associated with hepatic arterial chemotherapy using percutaneous catheter placement with an implantable port. We report a case of "basilar top syndrome" after insertion of a heparin-coated catheter from the left subclavian artery for treatment of multiple liver metastases.A 47-year-old woman with hepatic metastases from sigmoid colon cancer was treated by hepatic artery infusion of 5-FU. The patient developed neurologic signs and symptoms including disorientation, aphasia and motor weakness in her right hand on July 4th, 2000. CT scan detected small low-density areas in the bilateral thalamus. B-mode (color duplex) ultrasonography displayed the catheter in the left subclavian artery. The catheter showed to-and-fro movement pulsatively synchronized with her respiration and heartbeat. Fast Fourier Doppler images detected the sounds of the catheter beating against the vessel wall. The patient recovered after treatment with low-dose heparin and aspirin.In this case, it is possible that the thrombus migrated into the left vertebral artery from the surface of the catheter and/or the atheromatous plaque in the subclavian artery. B-mode ultrasonography was useful for diagnosing the etiology of the thrombus.

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Cerebro-Vascular Disorders Caused by Indwelling Hepatic-Arterial Catheter System

Sakamoto¹,

Amikura²,

Tanaka³

et al. 2007

Nihon Rinsho Geka Gakkai Zasshi (J Jpn Surg Assoc)

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Occlusion of the Left Superficial Femoral Artery During Hepatic Arterial Infusion of Chemotherapy for Liver Metastases from Colon Cancer 18 Months After the Implantation of a Port System: a Case Report

Cited by 3 publications

References 12 publications

Clinical Practice Guidelines for Hepatic Arterial Infusion Chemotherapy with a Port System Proposed by the Japanese Society of Interventional Radiology and Japanese Society of Implantable Port Assisted Treatment

Clinical Practice Guidelines for Hepatic Arterial Infusion Chemotherapy with a Port System Proposed by the Japanese Society of Interventional Radiology and Japanese Society of Implantable Port Assisted Treatment

Untitled

Cerebro-Vascular Disorders Caused by Indwelling Hepatic-Arterial Catheter System

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