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CardioVascular and Interventional Radiology

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01-12-2010 | Clinical Investigation

Clinical Application of a New Indwelling Catheter with a Side-Hole and Spirally Arranged Shape-Memory Alloy for Hepatic Arterial Infusion Chemotherapy

Authors: Kunihiro Yagihashi, Kenji Takizawa, Yukihisa Ogawa, Kyoko Okamoto, Misako Yoshimatsu, Atsuko Fujikawa, Hiroshi Shimamoto, Yasuo Nakajima

Published in: CardioVascular and Interventional Radiology | Issue 6/2010

Abstract

A new indwelling catheter, G-spiral (GSP), was developed for hepatic arterial infusion chemotherapy (HAIC) by way of an implanted catheter-port system (CPS). Here we evaluated its physical properties and the outcomes of its clinical use. The GSP vessel-fixing power and its ability to follow a guidewire were determined with a vascular in vitro model, and Student t test was used to determine statistical significance (P < 0.05). A retrospective analysis was performed to evaluate the technical success rate and to identify the clinical complications associated with radiologic CPS implantation with GSP in 65 patients with unresectable hepatic tumors. The mean vessel-fixing power of the GSP (14.4 g) significantly differed from that of a GSP with a cut shape-memory alloy (3.3 g). The mean resistance to following the guidewire displayed by the GSP (88.5 g) was significantly less than that for a 5F W-spiral (106.3 g) or 4F Cobra-type angiographic catheter (117.8 g). The CPS was placed successfully in 64 of 65 cases (98.5%). Hepatic artery occlusion was observed in one case. Occlusion, cracking, and infection of CPS were observed in one, two, and one case, respectively. The GSP is a highly useful indwelling catheter that can be used for HAIC.

Lorenz M, Muller HH (2000) Randomized, multicenter trial of fluorouracil plus leucovorin administered either via hepatic arterial or intravenous infusion versus fluorodeoxyuridine administered via hepatic arterial infusion in patients with nonresectable liver metastases from colorectal carcinoma. J Clin Oncol 18:243–254PubMed

Allen-Mersh TG, Earlam S, Fordy C, Abrams K, Houghton J (1994) Quality of life and survival with continuous hepatic-artery floxuridine infusion for colorectal liver metastases. Lancet 344:1255–1260CrossRefPubMed

Irie T (2001) Intraarterial chemotherapy of liver metastases: Implantation of a microcatheter-port system with use of modified fixed catheter tip technique. J Vasc Interv Radiol 12:1215–1218CrossRefPubMed

Tanaka T, Arai Y, Inaba Y, Matsueda K, Aramaki T, Takeuchi Y et al (2003) Radiologic placement of side-hole catheter with tip fixation for hepatic arterial infusion chemotherapy. J Vasc Interv Radiol 14:63–68PubMed

Yamagami T, Iida S, Kato T, Tanaka O, Hirota T, Nakamura T et al (2002) Using n-butyl cyanoacrylate and the fixed-catheter-tip technique in percutaneous implantation of a port-catheter system in patients undergoing repeated hepatic arterial chemotherapy. AJR Am J Roentgenol 179:1611–1617PubMed

Yamagami T, Kato T, Iida S, Hirota T, Nishimura T (2005) Management of end hole in placement of port-catheter system for continuous hepatic arterial infusion chemotherapy using the fixed catheter tip method. AJR Am J Roentgenol 184:1332–1339PubMed

Seki H, Shiina M (2006) Placement of a long tapered side-hole catheter in the hepatic artery: technical advantages, catheter stability, and arterial patency. AJR Am J Roentgenol 187:1312–1320CrossRefPubMed

Tajima T, Yoshimitsu K, Kuroiwa T, Ishibashi T, Irie H, Aibe H et al (2005) Percutaneous femoral catheter placement for long-term chemotherapy infusions: preliminary technical results. AJR Am J Roentgenol 184:906–914PubMed

Seki H, Ozaki T, Shiina M (2008) Side-hole catheter placement for hepatic arterial infusion chemotherapy in patients with liver metastases from colorectal cancer: long-term treatment and survival benefit. AJR Am J Roentgenol 190:111–120CrossRefPubMed

10.

Yoshioka T, Horikawa N, Takayama K, Nakatani T, Masui K, Kikuchi E et al (2003) Implantation of the intra-arterial port-catheter system using W spiral catheter in the peripheral hepatic arteries without fixation for treatment of malignant liver tumors: clinical experience. Intervent Radiol 18:282–286

11.

Shimamura T, Sato R, Noguchi T, Sasaki K, Cho N (2009) Case of indwelling catheter dislocation into the duodenum during hepatic arterial infusion chemotherapy. Nippon Shokakibyo Gakkai Zasshi 106:383–388PubMed

12.

Okamoto K, Takizawa K, Yagihashi K, Nakaji S, Sakaino S, Ogawa Y et al (2006) Initial experience using new W-spiral catheter (G-spiral) corresponding to 0.035 inch-GW for GDA-coil fixation method. Intervent Radiol 21:170–173

13.

Sadaoka S (1999) Comparative study of the physical properties of microcatheters frequently used for abdominal IVR. Nippon Acta Radiol 59:867–876PubMed

14.

Saeki M, HoshikawaY, Nakajima Y, Inaoka T (2003) Development of a wave-shaped hydrophilic-coated guidewire for long tube insertion: clinical application and sliding resistance test. Intervent Radiol 18:30–34

15.

Oken MM, Creech RH, Tormey DC, Horton J, Davis TE, McFadden ET et al (1982) Toxicity and response criteria of the Eastern Cooperative Oncology Group. Am J Clin Oncol 5:649–655CrossRefPubMed

16.

Kosinski C (1928) Quelques observationes sur le rameaux du tronc cæliaque et des artères mésentériques chez l’homme. C R Assoc Anat 23:241–260

17.

Kimura Y, Kimura W, Hirai I, Sugawara S, Sakurai F (2005) Surgical anatomy for the arteries of the pancreas. Yamagata Med J 23:11–21

18.

Takeuchi Y, Arai Y, Inaba Y, Ota T, Sueyoshi S, Yamagami T et al (1996) A new percutaneous catheterization “side holed catheter placement with fixation” for a long-term arterial chemotherapeutic infusion: its effectiveness to prevent hepatic arterial occlusion. J Jpn Soc Angiogr Interv Radiol 11:471–476

Title: Clinical Application of a New Indwelling Catheter with a Side-Hole and Spirally Arranged Shape-Memory Alloy for Hepatic Arterial Infusion Chemotherapy
Authors: Kunihiro Yagihashi
Kenji Takizawa
Yukihisa Ogawa
Kyoko Okamoto
Misako Yoshimatsu
Atsuko Fujikawa
Hiroshi Shimamoto
Yasuo Nakajima
Publication date: 01-12-2010
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 6/2010
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-009-9779-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Clinical Application of a New Indwelling Catheter with a Side-Hole and Spirally Arranged Shape-Memory Alloy for Hepatic Arterial Infusion Chemotherapy

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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