Complications encountered with a transfemorally placed port-catheter system for hepatic artery chemotherapy infusion

Toshiro Kuroiwa, Hiroshi Honda, Kengo Yoshimitsu, Hiroyuki Irie, Hitoshi Aibe, Tsuyoshi Tajima, Kenji Shinozaki, Kouji Masuda

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

A port-catheter system was implanted via femoral artery access for hepatic artery chemotherapy infusion. Implantation was attempted in 90 patients and was successful in 88. Blood flow redistribution was performed using embolization coils. In the first ten patients a soft heparin-coated infusion catheter was used. For the following 78 patients we used a stiffer catheter coated with fluorine-acryl-styrene-urethane-silicone (FASUS) copolymer. The catheter was connected to a port implanted subcutaneously below the level of the inguinal ligament. Complications during the procedure and after placement were observed in 7 of 90 patients and 24 of 88 patients, respectively. These included catheter obstruction (11%), dislocation of the catheter tip (10%), drug toxicity (5.7%), and catheter infection (3.4%). In 6 of 10 patients with catheter obstruction, recanalization of the port system was achieved. In 7 of 9 patients with dislocation of the indwelling catheter tip, replacement of the port system was successful. Our complications appear to be comparable with those encountered with the subclavian/brachial approach when the new catheter coating is used. Notable is the avoidance of cerebral infarcts.

Original languageEnglish
Pages (from-to)90-93
Number of pages4
JournalCardioVascular and Interventional Radiology
Volume24
Issue number2
DOIs
Publication statusPublished - May 17 2001

Fingerprint

Vascular Access Devices
Hepatic Artery
Catheters
Drug Therapy
Catheter Obstruction
Indwelling Catheters
Groin
Femoral Artery
Drug-Related Side Effects and Adverse Reactions
Ligaments
Heparin
Arm
Infection

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Complications encountered with a transfemorally placed port-catheter system for hepatic artery chemotherapy infusion. / Kuroiwa, Toshiro; Honda, Hiroshi; Yoshimitsu, Kengo; Irie, Hiroyuki; Aibe, Hitoshi; Tajima, Tsuyoshi; Shinozaki, Kenji; Masuda, Kouji.

In: CardioVascular and Interventional Radiology, Vol. 24, No. 2, 17.05.2001, p. 90-93.

Research output: Contribution to journalArticle

Kuroiwa, Toshiro ; Honda, Hiroshi ; Yoshimitsu, Kengo ; Irie, Hiroyuki ; Aibe, Hitoshi ; Tajima, Tsuyoshi ; Shinozaki, Kenji ; Masuda, Kouji. / Complications encountered with a transfemorally placed port-catheter system for hepatic artery chemotherapy infusion. In: CardioVascular and Interventional Radiology. 2001 ; Vol. 24, No. 2. pp. 90-93.
@article{98ac8964585844d6bcbab808b9a9270e,
title = "Complications encountered with a transfemorally placed port-catheter system for hepatic artery chemotherapy infusion",
abstract = "A port-catheter system was implanted via femoral artery access for hepatic artery chemotherapy infusion. Implantation was attempted in 90 patients and was successful in 88. Blood flow redistribution was performed using embolization coils. In the first ten patients a soft heparin-coated infusion catheter was used. For the following 78 patients we used a stiffer catheter coated with fluorine-acryl-styrene-urethane-silicone (FASUS) copolymer. The catheter was connected to a port implanted subcutaneously below the level of the inguinal ligament. Complications during the procedure and after placement were observed in 7 of 90 patients and 24 of 88 patients, respectively. These included catheter obstruction (11{\%}), dislocation of the catheter tip (10{\%}), drug toxicity (5.7{\%}), and catheter infection (3.4{\%}). In 6 of 10 patients with catheter obstruction, recanalization of the port system was achieved. In 7 of 9 patients with dislocation of the indwelling catheter tip, replacement of the port system was successful. Our complications appear to be comparable with those encountered with the subclavian/brachial approach when the new catheter coating is used. Notable is the avoidance of cerebral infarcts.",
author = "Toshiro Kuroiwa and Hiroshi Honda and Kengo Yoshimitsu and Hiroyuki Irie and Hitoshi Aibe and Tsuyoshi Tajima and Kenji Shinozaki and Kouji Masuda",
year = "2001",
month = "5",
day = "17",
doi = "10.1007/s002700000376",
language = "English",
volume = "24",
pages = "90--93",
journal = "CardioVascular and Interventional Radiology",
issn = "7415-5101",
publisher = "Springer Verlag",
number = "2",

}

TY - JOUR

T1 - Complications encountered with a transfemorally placed port-catheter system for hepatic artery chemotherapy infusion

AU - Kuroiwa, Toshiro

AU - Honda, Hiroshi

AU - Yoshimitsu, Kengo

AU - Irie, Hiroyuki

AU - Aibe, Hitoshi

AU - Tajima, Tsuyoshi

AU - Shinozaki, Kenji

AU - Masuda, Kouji

PY - 2001/5/17

Y1 - 2001/5/17

N2 - A port-catheter system was implanted via femoral artery access for hepatic artery chemotherapy infusion. Implantation was attempted in 90 patients and was successful in 88. Blood flow redistribution was performed using embolization coils. In the first ten patients a soft heparin-coated infusion catheter was used. For the following 78 patients we used a stiffer catheter coated with fluorine-acryl-styrene-urethane-silicone (FASUS) copolymer. The catheter was connected to a port implanted subcutaneously below the level of the inguinal ligament. Complications during the procedure and after placement were observed in 7 of 90 patients and 24 of 88 patients, respectively. These included catheter obstruction (11%), dislocation of the catheter tip (10%), drug toxicity (5.7%), and catheter infection (3.4%). In 6 of 10 patients with catheter obstruction, recanalization of the port system was achieved. In 7 of 9 patients with dislocation of the indwelling catheter tip, replacement of the port system was successful. Our complications appear to be comparable with those encountered with the subclavian/brachial approach when the new catheter coating is used. Notable is the avoidance of cerebral infarcts.

AB - A port-catheter system was implanted via femoral artery access for hepatic artery chemotherapy infusion. Implantation was attempted in 90 patients and was successful in 88. Blood flow redistribution was performed using embolization coils. In the first ten patients a soft heparin-coated infusion catheter was used. For the following 78 patients we used a stiffer catheter coated with fluorine-acryl-styrene-urethane-silicone (FASUS) copolymer. The catheter was connected to a port implanted subcutaneously below the level of the inguinal ligament. Complications during the procedure and after placement were observed in 7 of 90 patients and 24 of 88 patients, respectively. These included catheter obstruction (11%), dislocation of the catheter tip (10%), drug toxicity (5.7%), and catheter infection (3.4%). In 6 of 10 patients with catheter obstruction, recanalization of the port system was achieved. In 7 of 9 patients with dislocation of the indwelling catheter tip, replacement of the port system was successful. Our complications appear to be comparable with those encountered with the subclavian/brachial approach when the new catheter coating is used. Notable is the avoidance of cerebral infarcts.

UR - http://www.scopus.com/inward/record.url?scp=0035018197&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035018197&partnerID=8YFLogxK

U2 - 10.1007/s002700000376

DO - 10.1007/s002700000376

M3 - Article

C2 - 11443392

AN - SCOPUS:0035018197

VL - 24

SP - 90

EP - 93

JO - CardioVascular and Interventional Radiology

JF - CardioVascular and Interventional Radiology

SN - 7415-5101

IS - 2

ER -