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Fig. 4A. 56-year-old man with hepatocellular carcinoma in whom
port-catheter was placed with modified fixed catheter tip technique.
Arteriogram via port obtained just after implanting port-catheter system shows
that indwelling port-catheter system is precisely implanted percutaneously.
However, although blood flow is not seen in segment of gastroduodenal artery
in which embolic agents (thin arrows) were inserted, hepatofugal
blood flow beyond indwelling catheter tip is seen (thick arrows),
which suggests that inside lumen of catheter between side hole and end hole is
not sufficiently closed. Note that five microcoils and mixture of
n-butyl cyanoacrylate and Lipiodol (iodized oil, Guerbet) (thin
arrows) were put into gastroduodenal artery. These five microcoils
include microcoil positioned (arrowhead) in right gastroepiploic
artery beyond tip of indwelling catheter.