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Fig. 1A 43-year-old man with multiple liver metastases from rectal
cancer. Arteriogram via port obtained after placement shows that all hepatic
arteries are well visualized. Catheter tip was inserted into deep portion of
gastroduodenal artery (long thin arrow), and side hole was placed in
common hepatic artery (large arrowhead). To prevent extrahepatic
influx of anticancer agents, gastroduodenal artery (thick arrow),
right gastric artery (small arrow), and posterior superior
pancreatoduodenal artery (small arrowhead) were embolized with
microcoils. Embolization of gastroduodenal artery was performed using mixture
of n-butyl cyanoacrylate and iodized oil in addition to microcoils to
fix catheter and occlude arteries.