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Published in: Japanese Journal of Radiology 11/2014

01-11-2014 | Technical Note

Intermittent transcatheter therapy through a new indwelling catheter system for patients with hepatocellular carcinoma

Authors: Osamu Itano, Satoshi Itano, Hiroaki Nagamatsu, Rina Tsutsui, Akihiro Deguchi, Masanori Inoue, Seishi Nakatsuka

Published in: Japanese Journal of Radiology | Issue 11/2014

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Abstract

Purpose

This paper describes the technical details of the new indwelling catheter system, which we refer to as System-i, and provides an overview of our experience with this system at our institution.

Materials and methods

The system is implanted via the left brachial artery. The feeding artery of the tumor is catheterized at each treatment, and the system can be used for multiple treatments via more than one feeding artery. Between January 2004 and January 2013, System-i was used to administer 398 treatments in 30 patients with hepatocellular carcinoma (HCC). The technical aspects and outcomes of treatment procedures were evaluated.

Results

Implantation was successful in all cases. System-i was used for a median number of 11 treatments per patient over a median period of 5.7 months, and 71.6 % of all treatments were administered on an outpatient basis.

Conclusion

System-i provides an effective and safe method for selective catheterization of feeding arteries for administration of transcatheter arterial chemoembolization or infusion in patients with HCC. Treatment regimens can be individualized without limiting the number of treatments or treatment locations, and patients can be treated on an outpatient basis.
Literature
1.
go back to reference Itano S, Hisatomi J, Nagamatsu H, Matsugaki S, Yamasaki S, Tajiri N, et al. Treatment of hepatocellular carcinoma using System-I. Radiol Front. 2007;10(2):83–7. Itano S, Hisatomi J, Nagamatsu H, Matsugaki S, Yamasaki S, Tajiri N, et al. Treatment of hepatocellular carcinoma using System-I. Radiol Front. 2007;10(2):83–7.
2.
go back to reference Okumura F, Itano S, Ogawa K, Inagaki Y, Matsunami K, Fujita Y. A study of therapy for advanced hepatocellular carcinoma using special reservoir system indwelled in aorta named System-I. Ther Res Hepato-Biliary-Pancreatic Dis. 2007;5(1):46–51. Okumura F, Itano S, Ogawa K, Inagaki Y, Matsunami K, Fujita Y. A study of therapy for advanced hepatocellular carcinoma using special reservoir system indwelled in aorta named System-I. Ther Res Hepato-Biliary-Pancreatic Dis. 2007;5(1):46–51.
3.
go back to reference Yamagami T, Kato T, Iida S, Tanaka O, Nishimura T. Value of transcatheter arterial embolization with coils and n-butyl cyanoacrylate for long-term hepatic arterial infusion chemotherapy. Radiology. 2004;230:792–802.PubMedCrossRef Yamagami T, Kato T, Iida S, Tanaka O, Nishimura T. Value of transcatheter arterial embolization with coils and n-butyl cyanoacrylate for long-term hepatic arterial infusion chemotherapy. Radiology. 2004;230:792–802.PubMedCrossRef
4.
go back to reference Yagihashi K, Takizawa K, Ogawa Y, Okamoto K, Yoshimatsu M, Fujikawa A, et al. Clinical application of a new indwelling catheter with a side-hole and spirally arranged shape-memory alloy for hepatic arterial infusion chemotherapy. Cardiovasc Interv Radiol. 2010;33:1153–8.CrossRef Yagihashi K, Takizawa K, Ogawa Y, Okamoto K, Yoshimatsu M, Fujikawa A, et al. Clinical application of a new indwelling catheter with a side-hole and spirally arranged shape-memory alloy for hepatic arterial infusion chemotherapy. Cardiovasc Interv Radiol. 2010;33:1153–8.CrossRef
5.
go back to reference Choi SY, Kim AH, Kim KA, Won JY, do Lee Y, Lee KH. A simplified technique of percutaneous hepatic artery port-catheter insertion for the treatment of advanced hepatocellular carcinoma with portal vein invasion. Korean J Radiol. 2010;11:648–55.PubMedCentralPubMedCrossRef Choi SY, Kim AH, Kim KA, Won JY, do Lee Y, Lee KH. A simplified technique of percutaneous hepatic artery port-catheter insertion for the treatment of advanced hepatocellular carcinoma with portal vein invasion. Korean J Radiol. 2010;11:648–55.PubMedCentralPubMedCrossRef
6.
go back to reference Maurizio G, Claudio Z, Andrea M, Matteo G, Carlo G, Giovanni C, et al. Percutaneous implantation of a catheter with subcutaneous reservoir for intraarterial regional chemotherapy: technique and preliminary results. Cariovasc Interv Radiol. 2000;23:202–10.CrossRef Maurizio G, Claudio Z, Andrea M, Matteo G, Carlo G, Giovanni C, et al. Percutaneous implantation of a catheter with subcutaneous reservoir for intraarterial regional chemotherapy: technique and preliminary results. Cariovasc Interv Radiol. 2000;23:202–10.CrossRef
7.
go back to reference Satoru M, Hiroyuki T, Yutaka A, Yasushige K, Tsuyoshi F, Ken N, et al. Transcatheter management for multiple liver tumors after hepatic artery obstruction following reservoir placement. Hepatogastroenterology. 2005;52:852–6. Satoru M, Hiroyuki T, Yutaka A, Yasushige K, Tsuyoshi F, Ken N, et al. Transcatheter management for multiple liver tumors after hepatic artery obstruction following reservoir placement. Hepatogastroenterology. 2005;52:852–6.
8.
go back to reference Miyayama S, Matsui O, Taki K, Minami T, Ryu Y, Ito C, et al. Extrahepatic blood supply to hepatocellular carcinoma: angiographic demonstration and transcatheter arterial chemoembolization. Cardiovasc Interv Radiol. 2006;29:39–48.CrossRef Miyayama S, Matsui O, Taki K, Minami T, Ryu Y, Ito C, et al. Extrahepatic blood supply to hepatocellular carcinoma: angiographic demonstration and transcatheter arterial chemoembolization. Cardiovasc Interv Radiol. 2006;29:39–48.CrossRef
9.
go back to reference Arai Y, Inaba Y, Takeuchi Y. Interventional techniques for hepatic arterial infusion chemotherapy. In: Castaneda-Zoeniga WR, editor. Interventional radiology. 3rd ed. Baltimore: Williams & Wilkins; 1997. pp. 192–205. Arai Y, Inaba Y, Takeuchi Y. Interventional techniques for hepatic arterial infusion chemotherapy. In: Castaneda-Zoeniga WR, editor. Interventional radiology. 3rd ed. Baltimore: Williams & Wilkins; 1997. pp. 192–205.
10.
go back to reference Chuang VP, Wallace S. Hepatic arterial redistribution for intraarterial infusion of hepatic neoplasms. Radiology. 1980;135:295–9.PubMedCrossRef Chuang VP, Wallace S. Hepatic arterial redistribution for intraarterial infusion of hepatic neoplasms. Radiology. 1980;135:295–9.PubMedCrossRef
11.
go back to reference Yamagami T, Yoshimatsu R, Matsumoto T, Nishimura T. Redistribution of multiple hepatic arteries into a single hepatic artery to perform repeated hepatic arterial infusion chemotherapy. Acta Radiol. 2008;49:513–20.PubMedCrossRef Yamagami T, Yoshimatsu R, Matsumoto T, Nishimura T. Redistribution of multiple hepatic arteries into a single hepatic artery to perform repeated hepatic arterial infusion chemotherapy. Acta Radiol. 2008;49:513–20.PubMedCrossRef
12.
go back to reference Habbe TG, McCowan TC, Goertzen TC, Leveen RF, Culp WC, Tempero MA. Complications and technical limitations of hepatic arterial infusion catheter placement for chemotherapy. J Vasc Interv Radiol. 1998;9:233–9.PubMedCrossRef Habbe TG, McCowan TC, Goertzen TC, Leveen RF, Culp WC, Tempero MA. Complications and technical limitations of hepatic arterial infusion catheter placement for chemotherapy. J Vasc Interv Radiol. 1998;9:233–9.PubMedCrossRef
13.
go back to reference Nagaoka S, Itano S, Nagamatsu H, Akiyoshi J, Kurogi J, Tajiri N, et al. Temporary indwelling catheter system via the left brachial artery: evaluation in 83 patients with hepatic tumors. AJR Am J Roentgenol. 2007;188:652–8.PubMedCrossRef Nagaoka S, Itano S, Nagamatsu H, Akiyoshi J, Kurogi J, Tajiri N, et al. Temporary indwelling catheter system via the left brachial artery: evaluation in 83 patients with hepatic tumors. AJR Am J Roentgenol. 2007;188:652–8.PubMedCrossRef
14.
go back to reference Matsumoto T, Yamagami T, Yoshimatsu R, Morishita H, Kitamura N, et al. Hepatic arterial infusion chemotherapy by the fixed-catheter-tip method: retrospective comparison of percutaneous left subclavian and femoral port-catheter system implantation. AJR Am J Roentgenol. 2014;202:211–5.PubMedCrossRef Matsumoto T, Yamagami T, Yoshimatsu R, Morishita H, Kitamura N, et al. Hepatic arterial infusion chemotherapy by the fixed-catheter-tip method: retrospective comparison of percutaneous left subclavian and femoral port-catheter system implantation. AJR Am J Roentgenol. 2014;202:211–5.PubMedCrossRef
15.
go back to reference Mikami K, Osuqa K, Nakamura H. Transcatheter arterial chemoembolization for hepatocellular carcinoma using 3 French catheter system. Gan To Kagaku Ryoho Cancer Chemother. 2009;36:959–62. Mikami K, Osuqa K, Nakamura H. Transcatheter arterial chemoembolization for hepatocellular carcinoma using 3 French catheter system. Gan To Kagaku Ryoho Cancer Chemother. 2009;36:959–62.
16.
go back to reference Ohuchi Y, Kaminou T, Hashimoto M, Sugiura K, Adachi A, Kawai T, et al. Transfemoral approach using a 3.5-French catheter system for use in transcatheter arterial chemoembolization in patients with hepatocellular carcinoma: technical assessment. Hepatogastroenterology. 2011;58:916–21.PubMed Ohuchi Y, Kaminou T, Hashimoto M, Sugiura K, Adachi A, Kawai T, et al. Transfemoral approach using a 3.5-French catheter system for use in transcatheter arterial chemoembolization in patients with hepatocellular carcinoma: technical assessment. Hepatogastroenterology. 2011;58:916–21.PubMed
17.
go back to reference Aramaki T, Moriguchi M, Bekku E, Endo M, Ashakura K, Boku N, et al. Prospective evaluation of the optimal duration of bed rest after vascular interventions using a 3-French introducer sheath. Cariovasc Interv Radiol. 2014 (Epub ahead of print). Aramaki T, Moriguchi M, Bekku E, Endo M, Ashakura K, Boku N, et al. Prospective evaluation of the optimal duration of bed rest after vascular interventions using a 3-French introducer sheath. Cariovasc Interv Radiol. 2014 (Epub ahead of print).
Metadata
Title
Intermittent transcatheter therapy through a new indwelling catheter system for patients with hepatocellular carcinoma
Authors
Osamu Itano
Satoshi Itano
Hiroaki Nagamatsu
Rina Tsutsui
Akihiro Deguchi
Masanori Inoue
Seishi Nakatsuka
Publication date
01-11-2014
Publisher
Springer Japan
Published in
Japanese Journal of Radiology / Issue 11/2014
Print ISSN: 1867-1071
Electronic ISSN: 1867-108X
DOI
https://doi.org/10.1007/s11604-014-0361-6

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