Percutaneous Transfemoral Hepatic Arterial Infusion Catheter Placement with the Use of a Downsized Coaxial Catheter System

Technical Feasibility Study

Tsuyoshi Tajima, Kengo Yoshimitsu, Hiroyuki Irie, Akihiro Nishie, Masakazu Hirakawa, Kosei Ishigami, yasuhiro ushijima, daisuke okamoto, Munechika Kida, Rinya Kurogi, Hiroshi Honda, Toshirou Kuroiwa

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Purpose: In transfemoral implantation of a conventional port-catheter system for hepatic arterial infusion chemotherapy, there is a risk of pericatheter bleeding as a result of a caliber difference between the indwelling catheter and introducer sheath. The purpose of this study was to evaluate the feasibility and safety of a single-operator catheter exchange maneuver with a downsized system that includes a 3-F sheath. Materials and Methods: Sixteen patients (15 men; mean age, 67 years) with unresectable liver cancer underwent percutaneous port-catheter placement. A system consisting of a 2-F microcatheter, 3.3-F diagnostic catheter, and 3-F sheath was used to perform mapping diagnostic visceral arteriography and microcoil embolization for redistribution of flow. Catheter exchange with a 5-F indwelling catheter (W-Spiral catheter) was performed, and the tip of a W-Spiral catheter was inserted into the right gastroepiploic artery. The technical success of this single-operator catheter exchange, postprocedural complications, and performance of one-step or multistep catheter exchange procedures were evaluated. Results: Percutaneous port-catheter placement by a single operator with use of a downsized system was successful and safe in all patients (100%). Eight of 16 patients (50%) required multistep catheter exchange or dilation with two different guide wires because of arteriosclerosis, whereas the other eight underwent catheter exchange with a single guide wire. Conclusions: Percutaneous port-catheter placement with use of a downsized system offers potential clinical advantages of safety and simplified catheter exchange.

Original languageEnglish
Pages (from-to)1196-1201
Number of pages6
JournalJournal of Vascular and Interventional Radiology
Volume19
Issue number8
DOIs
Publication statusPublished - Aug 1 2008

Fingerprint

Feasibility Studies
Catheters
Liver
Vascular Access Devices
Indwelling Catheters
Gastroepiploic Artery
Safety
Arteriosclerosis
Liver Neoplasms
Dilatation
Angiography
Hemorrhage
Drug Therapy

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Percutaneous Transfemoral Hepatic Arterial Infusion Catheter Placement with the Use of a Downsized Coaxial Catheter System : Technical Feasibility Study. / Tajima, Tsuyoshi; Yoshimitsu, Kengo; Irie, Hiroyuki; Nishie, Akihiro; Hirakawa, Masakazu; Ishigami, Kosei; ushijima, yasuhiro; okamoto, daisuke; Kida, Munechika; Kurogi, Rinya; Honda, Hiroshi; Kuroiwa, Toshirou.

In: Journal of Vascular and Interventional Radiology, Vol. 19, No. 8, 01.08.2008, p. 1196-1201.

Research output: Contribution to journalArticle

Tajima, Tsuyoshi ; Yoshimitsu, Kengo ; Irie, Hiroyuki ; Nishie, Akihiro ; Hirakawa, Masakazu ; Ishigami, Kosei ; ushijima, yasuhiro ; okamoto, daisuke ; Kida, Munechika ; Kurogi, Rinya ; Honda, Hiroshi ; Kuroiwa, Toshirou. / Percutaneous Transfemoral Hepatic Arterial Infusion Catheter Placement with the Use of a Downsized Coaxial Catheter System : Technical Feasibility Study. In: Journal of Vascular and Interventional Radiology. 2008 ; Vol. 19, No. 8. pp. 1196-1201.
@article{db71595b137140c89fb0beeaa4c8eeda,
title = "Percutaneous Transfemoral Hepatic Arterial Infusion Catheter Placement with the Use of a Downsized Coaxial Catheter System: Technical Feasibility Study",
abstract = "Purpose: In transfemoral implantation of a conventional port-catheter system for hepatic arterial infusion chemotherapy, there is a risk of pericatheter bleeding as a result of a caliber difference between the indwelling catheter and introducer sheath. The purpose of this study was to evaluate the feasibility and safety of a single-operator catheter exchange maneuver with a downsized system that includes a 3-F sheath. Materials and Methods: Sixteen patients (15 men; mean age, 67 years) with unresectable liver cancer underwent percutaneous port-catheter placement. A system consisting of a 2-F microcatheter, 3.3-F diagnostic catheter, and 3-F sheath was used to perform mapping diagnostic visceral arteriography and microcoil embolization for redistribution of flow. Catheter exchange with a 5-F indwelling catheter (W-Spiral catheter) was performed, and the tip of a W-Spiral catheter was inserted into the right gastroepiploic artery. The technical success of this single-operator catheter exchange, postprocedural complications, and performance of one-step or multistep catheter exchange procedures were evaluated. Results: Percutaneous port-catheter placement by a single operator with use of a downsized system was successful and safe in all patients (100{\%}). Eight of 16 patients (50{\%}) required multistep catheter exchange or dilation with two different guide wires because of arteriosclerosis, whereas the other eight underwent catheter exchange with a single guide wire. Conclusions: Percutaneous port-catheter placement with use of a downsized system offers potential clinical advantages of safety and simplified catheter exchange.",
author = "Tsuyoshi Tajima and Kengo Yoshimitsu and Hiroyuki Irie and Akihiro Nishie and Masakazu Hirakawa and Kosei Ishigami and yasuhiro ushijima and daisuke okamoto and Munechika Kida and Rinya Kurogi and Hiroshi Honda and Toshirou Kuroiwa",
year = "2008",
month = "8",
day = "1",
doi = "10.1016/j.jvir.2008.04.024",
language = "English",
volume = "19",
pages = "1196--1201",
journal = "Journal of Vascular and Interventional Radiology",
issn = "1051-0443",
publisher = "Elsevier Inc.",
number = "8",

}

TY - JOUR

T1 - Percutaneous Transfemoral Hepatic Arterial Infusion Catheter Placement with the Use of a Downsized Coaxial Catheter System

T2 - Technical Feasibility Study

AU - Tajima, Tsuyoshi

AU - Yoshimitsu, Kengo

AU - Irie, Hiroyuki

AU - Nishie, Akihiro

AU - Hirakawa, Masakazu

AU - Ishigami, Kosei

AU - ushijima, yasuhiro

AU - okamoto, daisuke

AU - Kida, Munechika

AU - Kurogi, Rinya

AU - Honda, Hiroshi

AU - Kuroiwa, Toshirou

PY - 2008/8/1

Y1 - 2008/8/1

N2 - Purpose: In transfemoral implantation of a conventional port-catheter system for hepatic arterial infusion chemotherapy, there is a risk of pericatheter bleeding as a result of a caliber difference between the indwelling catheter and introducer sheath. The purpose of this study was to evaluate the feasibility and safety of a single-operator catheter exchange maneuver with a downsized system that includes a 3-F sheath. Materials and Methods: Sixteen patients (15 men; mean age, 67 years) with unresectable liver cancer underwent percutaneous port-catheter placement. A system consisting of a 2-F microcatheter, 3.3-F diagnostic catheter, and 3-F sheath was used to perform mapping diagnostic visceral arteriography and microcoil embolization for redistribution of flow. Catheter exchange with a 5-F indwelling catheter (W-Spiral catheter) was performed, and the tip of a W-Spiral catheter was inserted into the right gastroepiploic artery. The technical success of this single-operator catheter exchange, postprocedural complications, and performance of one-step or multistep catheter exchange procedures were evaluated. Results: Percutaneous port-catheter placement by a single operator with use of a downsized system was successful and safe in all patients (100%). Eight of 16 patients (50%) required multistep catheter exchange or dilation with two different guide wires because of arteriosclerosis, whereas the other eight underwent catheter exchange with a single guide wire. Conclusions: Percutaneous port-catheter placement with use of a downsized system offers potential clinical advantages of safety and simplified catheter exchange.

AB - Purpose: In transfemoral implantation of a conventional port-catheter system for hepatic arterial infusion chemotherapy, there is a risk of pericatheter bleeding as a result of a caliber difference between the indwelling catheter and introducer sheath. The purpose of this study was to evaluate the feasibility and safety of a single-operator catheter exchange maneuver with a downsized system that includes a 3-F sheath. Materials and Methods: Sixteen patients (15 men; mean age, 67 years) with unresectable liver cancer underwent percutaneous port-catheter placement. A system consisting of a 2-F microcatheter, 3.3-F diagnostic catheter, and 3-F sheath was used to perform mapping diagnostic visceral arteriography and microcoil embolization for redistribution of flow. Catheter exchange with a 5-F indwelling catheter (W-Spiral catheter) was performed, and the tip of a W-Spiral catheter was inserted into the right gastroepiploic artery. The technical success of this single-operator catheter exchange, postprocedural complications, and performance of one-step or multistep catheter exchange procedures were evaluated. Results: Percutaneous port-catheter placement by a single operator with use of a downsized system was successful and safe in all patients (100%). Eight of 16 patients (50%) required multistep catheter exchange or dilation with two different guide wires because of arteriosclerosis, whereas the other eight underwent catheter exchange with a single guide wire. Conclusions: Percutaneous port-catheter placement with use of a downsized system offers potential clinical advantages of safety and simplified catheter exchange.

UR - http://www.scopus.com/inward/record.url?scp=48949115350&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=48949115350&partnerID=8YFLogxK

U2 - 10.1016/j.jvir.2008.04.024

DO - 10.1016/j.jvir.2008.04.024

M3 - Article

VL - 19

SP - 1196

EP - 1201

JO - Journal of Vascular and Interventional Radiology

JF - Journal of Vascular and Interventional Radiology

SN - 1051-0443

IS - 8

ER -