Value of Micronester coils in port-catheter implantation for continuous hepatic arterial infusion chemotherapy with fixed catheter tip method
Value of Micronester coils in port-catheter implantation for continuous hepatic arterial infusion chemotherapy with fixed catheter tip method
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DOI：
10.1007/s00330-007-0706-y
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发表时间：
2008-01-01
影响因子：
5.9
通讯作者：
Nishimura, Tsunehiko
中科院分区：
文献类型：
--
作者：
Yamagami, Takuji;Kato, Takeharu;Nishimura, Tsunehiko
回顾性评价微酯线圈在固定式导管尖端植入中的应用，并与以往使用的其他线圈进行比较。这项研究的队列是143例连续的不可切除的晚期肝癌患者，他们经皮植入了一个端口导管系统。在最近的32例患者中，我们使用微酯线圈固定导管尖端。我们比较了使用和不使用Micronester线圈的病例在固定栓剂、持续血流超出留置导管远端以及并发症方面的详细情况。总的来说，经皮置管是成功的。用于固定的平均线圈数为未使用微纤维线圈的4.2圈和使用微纤维线圈的2.5圈。在111例不使用微酯线圈的手术中，85.6%的患者使用氰基丙烯酸正丁酯-脂醇固定导管尖端，在32例使用微酯线圈的手术中，50%的患者使用脂醇固定导管尖端。在任何手术后的最后检查中均未发现胃十二指肠动脉远端以外的动脉。5例发生导管脱位，8例发生肝动脉阻塞或严重狭窄。与其他线圈相比，使用微酯线圈可以减少nbca - lipodol的线圈数量和必要性，而不会降低固定能力。
To retrospectively evaluate the use of Micronester coils in port-catheter implantation with the fixed catheter tip method in comparison with other previously used coils. The cohort of this study was 143 consecutive patients with unresectable advanced liver cancer for whom a port-catheter system was percutaneously implanted. In the most recent 32 patients, Micronester coils were used for catheter tip fixation. Details of embolic agents for fixation, persistent blood flow beyond the distal end of the indwelling catheter, and complications were compared between cases without and with Micronester coils. In all, percutaneous port-catheter placement was successful. Mean number of coils used for fixation was 4.2 without Micronester coils vs. 2.5 with Micronester coils. N-butyl cyanoacrylate (NIBCA)-Lipiodol was additionally used for catheter tip fixation in 85.6% of 111 procedures without Micronester coils and in 50% of 32 using Micronester coils. The gastroduodenal artery beyond the distal end was not detected at the final examination after any procedure. Catheter dislocation occurred in five and hepatic arterial obstruction or severe stenosis in eight. The number of coils used and necessity of NBCA-Lipiodol could be decreased with usage of Micronester coils without decreasing fixation ability compared to other coils.