The following table or figure may be downloaded to PowerPoint for personal use in teaching and presentations. This feature is available to all subscribers to the journal. You MUST read and follow the guidelines at Request to Reproduce AJR Content if you are distributing or using AJR content beyond academic use (limited distribution, non-revenue producing, or educational purposes). (Downloading may take up to 30 seconds.
If the slide opens in your browser, select File -> Save As to save it.)
Click on image to view larger version.
Fig. 1A. Schematic diagram of desired catheter position and occluded
vessels for infusion using fixed catheter tip method and gastroduodenal
artery. In original fixed catheter tip method, tip of catheter (thick
arrow) is located in gastroduodenal artery, and side-hole (small
arrowhead) through which anticancer drugs are infused via port and
distributed to intrahepatic arterial branches is open toward common hepatic
artery. Inside lumen of catheter tip is occluded with microcoil (long thin
arrow). Catheter tip is tightly fixed in gastroduodenal artery with
microcoils (short arrows) and mixture of n-butyl
cyanoacrylate and Lipiodol (iodized oil, Guerbet) (large arrowhead)
placed on outside of catheter. Right gastric artery and branches of
pancreaticoduodenal arcade are embolized with microcoils. Note that side hole
is created at region where diameter begins to taper (curved arrow)
from 5 to 2.7 French. Diameter of implanted catheter positioned in common
hepatic artery and celiac artery is 5 French. A = celiac artery, B = left
gastric artery, C = splenic artery, D = common hepatic artery, E =
gastroduodenal artery, F = proper hepatic artery, G = right gastric artery