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Temporary Indwelling Catheter System via the Left Brachial Artery: Evaluation in 83 Patients with Hepatic Tumors

¹ All authors: Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Asahimachi 67, Kurume, Fukuoka 830-0011, Japan.

View larger version (129K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1A —64-year-old woman with hepatocellular carcinoma. Celiac arteriogram shows standard hepatic artery anatomy.

View larger version (135K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 1B —64-year-old woman with hepatocellular carcinoma. Arteriogram obtained through temporary indwelling catheter system via left brachial artery shows catheter tip located in left hepatic artery and side holes located in proper hepatic artery. Note that right gastric artery (arrow) is embolized with microcoils.

View larger version (154K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 2 —Photograph shows inserted part of catheter placed with silk thread in left brachial artery.

View larger version (120K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 3A —69-year-old man with hepatocellular carcinoma. Arteriogram shows replaced right hepatic artery arising from superior mesenteric artery.

View larger version (120K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 3B —69-year-old man with hepatocellular carcinoma. Arteriogram obtained through temporary indwelling catheter system via left brachial artery shows catheter tip and side holes located in right hepatic artery from superior mesenteric artery.

View larger version (109K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 3C —69-year-old man with hepatocellular carcinoma. Transfemoral arteriogram shows left hepatic artery.

View larger version (113K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 3D —69-year-old man with hepatocellular carcinoma. Arteriogram through transfemoral indwelling catheter obtained immediately after catheter placement shows that metallic coils were inserted into gastroduodenal artery through microcatheter to occlude gastroduodenal artery. Indwelling catheter tip was fixed in gastroduodenal artery.

View larger version (120K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 4A —56-year-old man with hepatocellular carcinoma. Superior mesenteric arteriogram shows collateral circulation in celiac axis occlusion. Note enlargement of pancreatic arcade (large arrow) and dorsal pancreatic (arrowhead) arteries, which provided collateral flow to hepatic (small arrow) and splenic arteries.

View larger version (115K): [in this window] [in a new window] [as a PowerPoint slide]   Fig. 4B —56-year-old man with hepatocellular carcinoma. Arteriogram obtained through temporary indwelling catheter system via left brachial artery shows catheter tip and side holes located in gastroduodenal artery through postpancreatic arcade from superior mesenteric artery.

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