Radiologic Placement of Side-hole Catheter with Tip Fixation for Hepatic Arterial Infusion Chemotherapy

Guidelines for the use of NBCA in vascular embolization devised by the Committee of Practice Guidelines of the Japanese Society of Interventional Radiology (CGJSIR), 2012 edition

“…In addition, NBCA has been indicated for arterial redistribution and hepatic arterial catheter fixation during hepatic arterial infusion chemotherapy [68,159,180,181]. In the venous system, retrospective studies examining the use of NBCA for percutaneous transhepatic portal venous embolization have also been reported [19,45,48,49,77], and there have been several studies about the use of NBCA for pelvic congestion syndrome and varicoceles [27,65,109,157].…”

J-tipped guidewire as a target for puncture of the subclavian artery in the placement of a reservoir port and catheter system

“…Percutaneous implantation of RPCS has several theoretical advantages: (a) patients do not undergo laparotomy; (b) procedure can be performed in outpatients; (c) occlusion of nontarget arteries can be performed to minimize gastroduodenal complications; (d) dislodged catheter can be replaced; (e) and costs and invasiveness are lower [10,16,17]. Radiologic placement does not allow performance of preventive cholecystectomy to avoid cholecystitis, but this does not seem to be a crucial problem [10,18]. Complications vary depending on the technique and the approach.…”

“…Complications vary depending on the technique and the approach. Dislocation is one major problem and occurs in between 0 [5] and 36% [18,19] of cases. The frequency of dislocation appears to be particularly high when the axillary or brachial artery is used [10,19,20].…”

Hepatic arterial cannulation using the side holed catheter

“…For performing the laparotomic method, it is necessary to reduce complications like arterial occlusions. While progress has been made in the IVR method [5,6,7], the laparotomic method has hardly improved at all. We regarded improving the laparotomic method as significant at present, and we improved the laparotomic catheter to have a side hole to use in the IVR technique.…”

“…Recently we used to select the interventional radiological (IVR) approach. In many cases with the IVR approach, the side holed catheter was selected for reducing the complications in Japan [5,6,7]. We considered that if a side holed catheter was used in laparotomic approach, it would be able to reduce the complication.…”