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  1. 広島大学の刊行物
  2. Hiroshima Journal of Medical Sciences
  3. 61巻1号

Long-Term Outcomes of Hepatic Arterial Port Implantation using a Coaxial Microcatheter System in 176 Patients with Hepatocellular Carcinoma

https://hiroshima.repo.nii.ac.jp/records/2013656
https://hiroshima.repo.nii.ac.jp/records/2013656
c713d280-4500-48bd-bdeb-a2dfea92df99
名前 / ファイル ライセンス アクション
HiroshimaJMedSci_61_7.pdf HiroshimaJMedSci_61_7.pdf (253.8 KB)
Item type デフォルトアイテムタイプ_(フル)(1)
公開日 2023-03-18
タイトル
タイトル Long-Term Outcomes of Hepatic Arterial Port Implantation using a Coaxial Microcatheter System in 176 Patients with Hepatocellular Carcinoma
言語 en
作成者 Ishikawa, Masaki

× Ishikawa, Masaki

en Ishikawa, Masaki

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Kakizawa, Hideaki

× Kakizawa, Hideaki

en Kakizawa, Hideaki

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Hieda, Masashi

× Hieda, Masashi

en Hieda, Masashi

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Toyota, Naoyuki

× Toyota, Naoyuki

en Toyota, Naoyuki

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Katamura, Yoshio

× Katamura, Yoshio

en Katamura, Yoshio

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Aikata, Hiroshi

× Aikata, Hiroshi

en Aikata, Hiroshi

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Chayama, Kazuaki

× Chayama, Kazuaki

en Chayama, Kazuaki

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Awai, Kazuo

× Awai, Kazuo

en Awai, Kazuo

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利情報
権利情報 (c) Hiroshima University Medical Press.
主題
主題Scheme Other
主題 Arterial infusion chemotherapy
主題
主題Scheme Other
主題 Hepatic arterial port implantation
主題
主題Scheme Other
主題 Port
主題
主題Scheme Other
主題 Microcatheter
主題
主題Scheme Other
主題 Hepatocellular carcinoma
主題
主題Scheme NDC
主題 490
内容記述
内容記述 The purpose of this study is to evaluate the feasibility of hepatic arterial port implantation using a 2.9-Fr coaxial microcatheter for hepatic arterial infusion chemotherapy (HAIC) in patients with unresectable hepatocellular carcinoma (HCC) in the long-term follow-up period. Our study subjects were 176 patients with unresectable HCC who underwent hepatic arterial port implantation using a 2.9-Fr coaxial microcatheter via the femoral approach. A 2.9-Fr microcatheter with a side hole was introduced into the hepatic artery through a 5-Fr catheter. We determined the possible length of HAIC, starting with hepatic arterial port implantation and ending with the manifestation of technical difficulties or patient death. We also recorded the technical success rate, the time required for the procedure, and the complications encountered. The median duration of HAIC was 4.3 months (range 0.4-51.6 months) and the predictable cumulative rate of hepatic arterial port functioning at 6-, 12-, and 24 months was 75.1%, 60.9%, and 44.6%, respectively. Our technical success rate was 99.4% (175/176), and the mean time required for the procedure was 121 min. Complications were migration of the infusion hole (8.6%, 15/175), hepatic artery damage (5.7%, 10/175), port-catheter system occlusion (5.7%, 10/175), and problems involving the port or the puncture site (8.0%, 14/175). Our study demonstrates that the technical success rate of hepatic arterial port implantation using a coaxial microcatheter was high but that the incidence of port-catheter system occlusion and catheter dislocation was higher than in conventional methods. Our technique is another option to treat patients with HCC for whom conventional techniques cannot be used.
言語 en
出版者
出版者 Hiroshima University Medical Press
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ departmental bulletin paper
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 0018-2052
収録物識別子
収録物識別子タイプ NCID
収録物識別子 AA00664312
開始ページ
開始ページ 7
書誌情報 Hiroshima Journal of Medical Sciences
Hiroshima Journal of Medical Sciences

巻 61, 号 1, p. 7-13, 発行日 2012-03
旧ID 35005
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