Percutaneous Implantation of a Microcatheter-Port System for Hepatic Arterial Infusion Chemotherapy of Unresectable Liver Tumors: Technical Feasibility, Functionality, and Complications - Université de Bourgogne Accéder directement au contenu
Article Dans Une Revue Diagnostics Année : 2021

Percutaneous Implantation of a Microcatheter-Port System for Hepatic Arterial Infusion Chemotherapy of Unresectable Liver Tumors: Technical Feasibility, Functionality, and Complications

Olivier Chevallier
Ségolène Mvouama
  • Fonction : Auteur
Julie Pellegrinelli
  • Fonction : Auteur
Kévin Guillen
Sylvain Manfredi
  • Fonction : Auteur
François Ghiringhelli
Nicolas Falvo
  • Fonction : Auteur
Romaric Loffroy

Résumé

To evaluate the feasibility and safety of percutaneously implanted arterial port catheter systems for hepatic arterial infusion of chemotherapy (HAI) in patients with unresectable liver malignancies. From October 2010 to August 2018, arterial port catheters for HAI were percutaneously implanted in 43 patients with unresectable liver malignancies. Three different catheter placement techniques were compared: a conventional end-hole catheter placed in the common hepatic artery (technique 1, n = 16), a side-hole catheter with the tip fixed in the gastroduodenal artery (technique 2, n = 18), and a long-tapered side-hole catheter with the tip inserted distally in a segmental hepatic artery (technique 3, n = 6). Catheter implantation was successful in 40 (93%) of the 43 patients. Complications related to catheter placement were observed in 10 (23%) patients; 5 (83%) of the 6 major complications were resolved, as well as all 4 minor complications. Catheter migration and occlusion occurred in 9 (22.5%) patients. Catheter migration was more frequent with technique 1 (n = 6) than with technique 2 (n = 1), although the difference was not significant (p = 0.066). Percutaneous arterial port catheter implantation for HAI is highly feasible and carries a low risk of complications.

Dates et versions

hal-03613354 , version 1 (18-03-2022)

Identifiants

Citer

Olivier Chevallier, Ségolène Mvouama, Julie Pellegrinelli, Kévin Guillen, Sylvain Manfredi, et al.. Percutaneous Implantation of a Microcatheter-Port System for Hepatic Arterial Infusion Chemotherapy of Unresectable Liver Tumors: Technical Feasibility, Functionality, and Complications. Diagnostics, 2021, 11 (3), pp.399. ⟨10.3390/diagnostics11030399⟩. ⟨hal-03613354⟩
12 Consultations
0 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More