Percutaneous catheter and port placement for hepatic arterial infusion chemotherapy: Catheter placement from subclavian artery

Miyuki Sone, Yasuaki Arai, daisuke okamoto, Hiroaki Ishii, Shunsuke Sugawara, Shinichi Morita, Hirotaka Tomimatsu, Naotoshi Atoda

Research output: Contribution to journalArticle

Abstract

Hepatic arterial infusion chemotherapy (HAIC) has been performed for patients with life-threatening liver tumors resistant to standard therapies for more than 30 years. Placement of the port and catheter system for HAIC is performed by surgeons or interventional radiologists. Surgical placement requires laparotomy, whereas the interventional radiologic approach places a port and a catheter percutaneously. The interventional radiologic technique of implanting a port and catheter was originally developed in Japan in the 1980s. The procedure consists of arterial redistribution, catheter and port placement, and evaluation and management of the drug distribution. For the catheter and port placement, the subclavian artery, femoral artery, or inferior epigastric artery is used as an access route. We have used a subclavian artery for HAIC to have the stability of the system at the anterior chest wall and the ease to advance a catheter into hepatic arteries at the time of the placement; however, there are some risks, such as cerebral infarction, and the specific skills of a cutdown procedure are required to access the subclavian artery. No procedure can be perfectly appropriate for all patients, and we should consider what we choose on a case-by-case basis. With this video (available online at www.jvir.org), we hope many interventional radiologists will be aware that this could be within their scope of practice with training.

Original languageEnglish
Pages (from-to)577-541
Number of pages37
JournalJournal of Vascular and Interventional Radiology
Volume25
Issue number4
DOIs
Publication statusPublished - Jan 1 2014

Fingerprint

Vascular Access Devices
Subclavian Artery
Catheters
Drug Therapy
Liver
Epigastric Arteries
Drug Evaluation
Hepatic Artery
Cerebral Infarction
Thoracic Wall
Femoral Artery
Laparotomy
Japan
Neoplasms

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Percutaneous catheter and port placement for hepatic arterial infusion chemotherapy : Catheter placement from subclavian artery. / Sone, Miyuki; Arai, Yasuaki; okamoto, daisuke; Ishii, Hiroaki; Sugawara, Shunsuke; Morita, Shinichi; Tomimatsu, Hirotaka; Atoda, Naotoshi.

In: Journal of Vascular and Interventional Radiology, Vol. 25, No. 4, 01.01.2014, p. 577-541.

Research output: Contribution to journalArticle

Sone, Miyuki ; Arai, Yasuaki ; okamoto, daisuke ; Ishii, Hiroaki ; Sugawara, Shunsuke ; Morita, Shinichi ; Tomimatsu, Hirotaka ; Atoda, Naotoshi. / Percutaneous catheter and port placement for hepatic arterial infusion chemotherapy : Catheter placement from subclavian artery. In: Journal of Vascular and Interventional Radiology. 2014 ; Vol. 25, No. 4. pp. 577-541.
@article{aa10f410072d40ffb5cc2789070b004f,
title = "Percutaneous catheter and port placement for hepatic arterial infusion chemotherapy: Catheter placement from subclavian artery",
abstract = "Hepatic arterial infusion chemotherapy (HAIC) has been performed for patients with life-threatening liver tumors resistant to standard therapies for more than 30 years. Placement of the port and catheter system for HAIC is performed by surgeons or interventional radiologists. Surgical placement requires laparotomy, whereas the interventional radiologic approach places a port and a catheter percutaneously. The interventional radiologic technique of implanting a port and catheter was originally developed in Japan in the 1980s. The procedure consists of arterial redistribution, catheter and port placement, and evaluation and management of the drug distribution. For the catheter and port placement, the subclavian artery, femoral artery, or inferior epigastric artery is used as an access route. We have used a subclavian artery for HAIC to have the stability of the system at the anterior chest wall and the ease to advance a catheter into hepatic arteries at the time of the placement; however, there are some risks, such as cerebral infarction, and the specific skills of a cutdown procedure are required to access the subclavian artery. No procedure can be perfectly appropriate for all patients, and we should consider what we choose on a case-by-case basis. With this video (available online at www.jvir.org), we hope many interventional radiologists will be aware that this could be within their scope of practice with training.",
author = "Miyuki Sone and Yasuaki Arai and daisuke okamoto and Hiroaki Ishii and Shunsuke Sugawara and Shinichi Morita and Hirotaka Tomimatsu and Naotoshi Atoda",
year = "2014",
month = "1",
day = "1",
doi = "10.1016/j.jvir.2014.01.001",
language = "English",
volume = "25",
pages = "577--541",
journal = "Journal of Vascular and Interventional Radiology",
issn = "1051-0443",
publisher = "Elsevier Inc.",
number = "4",

}

TY - JOUR

T1 - Percutaneous catheter and port placement for hepatic arterial infusion chemotherapy

T2 - Catheter placement from subclavian artery

AU - Sone, Miyuki

AU - Arai, Yasuaki

AU - okamoto, daisuke

AU - Ishii, Hiroaki

AU - Sugawara, Shunsuke

AU - Morita, Shinichi

AU - Tomimatsu, Hirotaka

AU - Atoda, Naotoshi

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Hepatic arterial infusion chemotherapy (HAIC) has been performed for patients with life-threatening liver tumors resistant to standard therapies for more than 30 years. Placement of the port and catheter system for HAIC is performed by surgeons or interventional radiologists. Surgical placement requires laparotomy, whereas the interventional radiologic approach places a port and a catheter percutaneously. The interventional radiologic technique of implanting a port and catheter was originally developed in Japan in the 1980s. The procedure consists of arterial redistribution, catheter and port placement, and evaluation and management of the drug distribution. For the catheter and port placement, the subclavian artery, femoral artery, or inferior epigastric artery is used as an access route. We have used a subclavian artery for HAIC to have the stability of the system at the anterior chest wall and the ease to advance a catheter into hepatic arteries at the time of the placement; however, there are some risks, such as cerebral infarction, and the specific skills of a cutdown procedure are required to access the subclavian artery. No procedure can be perfectly appropriate for all patients, and we should consider what we choose on a case-by-case basis. With this video (available online at www.jvir.org), we hope many interventional radiologists will be aware that this could be within their scope of practice with training.

AB - Hepatic arterial infusion chemotherapy (HAIC) has been performed for patients with life-threatening liver tumors resistant to standard therapies for more than 30 years. Placement of the port and catheter system for HAIC is performed by surgeons or interventional radiologists. Surgical placement requires laparotomy, whereas the interventional radiologic approach places a port and a catheter percutaneously. The interventional radiologic technique of implanting a port and catheter was originally developed in Japan in the 1980s. The procedure consists of arterial redistribution, catheter and port placement, and evaluation and management of the drug distribution. For the catheter and port placement, the subclavian artery, femoral artery, or inferior epigastric artery is used as an access route. We have used a subclavian artery for HAIC to have the stability of the system at the anterior chest wall and the ease to advance a catheter into hepatic arteries at the time of the placement; however, there are some risks, such as cerebral infarction, and the specific skills of a cutdown procedure are required to access the subclavian artery. No procedure can be perfectly appropriate for all patients, and we should consider what we choose on a case-by-case basis. With this video (available online at www.jvir.org), we hope many interventional radiologists will be aware that this could be within their scope of practice with training.

UR - http://www.scopus.com/inward/record.url?scp=84919425501&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84919425501&partnerID=8YFLogxK

U2 - 10.1016/j.jvir.2014.01.001

DO - 10.1016/j.jvir.2014.01.001

M3 - Article

AN - SCOPUS:84919425501

VL - 25

SP - 577

EP - 541

JO - Journal of Vascular and Interventional Radiology

JF - Journal of Vascular and Interventional Radiology

SN - 1051-0443

IS - 4

ER -