Yamagami Takuji, Kato Takeharu, Iida Shigeharu, Hirota Tatsuya, Nishimura Tsunehiko
Department of Radiology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-chyo, Kawaramachi-Hirokoji, Kamigyo, Kyoto, 602-8566, Japan.
J Vasc Interv Radiol. 2004 Jun;15(6):633-9. doi: 10.1097/01.rvi.0000127896.85305.ba.
The present study evaluated the feasibility of interventional radiologic treatments for hepatic arterial occlusion after hepatic arterial infusion chemotherapy (HAIC) via an implanted port-catheter system. Treatment for hepatic arterial occlusion was attempted in seven patients with unresectable liver cancer. In six, the obstructed hepatic artery was recanalized. In three patients, the recanalized hepatic artery again became obstructed. However, by performing additional interventional radiologic procedures, secondary patency of the hepatic artery was successfully obtained in two patients. In conclusion, when hepatic arterial occlusion occurs, HAIC can be resumed in the attempt to recanalize the hepatic artery.
本研究评估了经植入式导管系统在肝动脉灌注化疗(HAIC)后对肝动脉闭塞进行介入放射治疗的可行性。对7例不可切除肝癌患者尝试进行肝动脉闭塞治疗。其中6例患者阻塞的肝动脉再通。3例患者再通的肝动脉再次闭塞。然而,通过实施额外的介入放射学操作,2例患者成功获得了肝动脉的二期通畅。总之,当发生肝动脉闭塞时,可尝试再通肝动脉以恢复HAIC。