AJR
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Abstract Freely available
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Yamagami, T.
Right arrow Articles by Nishimura, T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Yamagami, T.
Right arrow Articles by Nishimura, T.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati  
What's this?
Hotlight (NEW!)
Right arrow
What's Hotlight?

Use of N-Butyl Cyanoacrylate in Implantation of a Port-Catheter System for Hepatic Arterial Infusion Chemotherapy with the Fixed-Catheter-Tip Method: Is It Necessary?

Takuji Yamagami1, Koshi Terayama, Rika Yoshimatsu, Tomohiro Matsumoto, Hiroshi Miura and Tsunehiko Nishimura

1 All authors: Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-chyo, Kawaramachi-Hirokoji, Kamigyo, Kyoto 602-8566, Japan.


Figure 1
View larger version (145K):
[in this window]
[in a new window]
[as a PowerPoint slide]
  		Fig. 1A —69-year-old man with liver metastasis from rectum in whom port-catheter was placed with fixed-catheter-tip method without use of N-butyl cyanoacrylate and Lipiodol (iodized oil, Laboratoire Guerbet) mixture. Arteriography performed during infusion of contrast agent via port just after implantation shows that indwelling port-catheter system is precisely implanted. All hepatic artery branches are shown. Distal tip of catheter is fixed to gastroduodenal artery with microcoils (thick arrows), and side hole opens into common hepatic artery (arrowhead). Note that right gastric artery is embolized with microcoils (thin arrows).

 

Figure 2
View larger version (135K):
[in this window]
[in a new window]
[as a PowerPoint slide]
  		Fig. 1B —69-year-old man with liver metastasis from rectum in whom port-catheter was placed with fixed-catheter-tip method without use of N-butyl cyanoacrylate and Lipiodol (iodized oil, Laboratoire Guerbet) mixture. Arteriography via port performed 196 days after implantation of port-catheter system shows that side hole has moved to celiac artery (arrowhead).

 

Figure 3
View larger version (190K):
[in this window]
[in a new window]
[as a PowerPoint slide]
  		Fig. 2A —67-year-old woman with hepatocellular carcinoma in whom port-catheter was placed with fixed-catheter-tip method using mixture of N-butyl cyanoacrylate (NBCA) and Lipiodol (iodized oil, Laboratoire Guerbet) (patient 6 in Table 3). Arteriography during port-catheter implantation procedure shows that port-catheter is positioned with catheter tip fixed to gastroduodenal artery but that some of NBCA–Lipiodol mixture has migrated from gastroduodenal artery (large arrow) to proper hepatic artery (small arrows). Note that microcoils can be seen in replaced right hepatic artery (large arrowhead) originating from celiac artery and right gastric artery (small arrowhead), both of which were inserted as preparation before implantation of port-catheter system.

 

Figure 4
View larger version (194K):
[in this window]
[in a new window]
[as a PowerPoint slide]
  		Fig. 2B —67-year-old woman with hepatocellular carcinoma in whom port-catheter was placed with fixed-catheter-tip method using mixture of N-butyl cyanoacrylate (NBCA) and Lipiodol (iodized oil, Laboratoire Guerbet) (patient 6 in Table 3). Radiograph shows performance of percutaneous transluminal angioplasty for lesion of hepatic artery narrowing caused by migration of NBCA–Lipiodol mixture that was obtained immediately after migration during procedure for port-catheter implantation (arrow).

 

Figure 5
View larger version (179K):
[in this window]
[in a new window]
[as a PowerPoint slide]
  		Fig. 2C —67-year-old woman with hepatocellular carcinoma in whom port-catheter was placed with fixed-catheter-tip method using mixture of N-butyl cyanoacrylate (NBCA) and Lipiodol (iodized oil, Laboratoire Guerbet) (patient 6 in Table 3). Arteriography via port performed just after percutaneous transluminal angioplasty shows that narrowed lesion was sufficiently recanalized and all hepatic artery branches are revealed. Note microcoil (arrow) used for embolization of accessory left gastric artery.

 

Figure 6
View larger version (174K):
[in this window]
[in a new window]
[as a PowerPoint slide]
  		Fig. 2D —67-year-old woman with hepatocellular carcinoma in whom port-catheter was placed with fixed-catheter-tip method using mixture of N-butyl cyanoacrylate (NBCA) and Lipiodol (iodized oil, Laboratoire Guerbet) (patient 6 in Table 3). Arteriography via port performed 76 days after implantation of port-catheter system reveals severe stenosis of proper hepatic artery.

 

Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati    What's this?



HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2008 by the American Roentgen Ray Society.