Takanashi Kunihiro, Takahashi Minoru, Miyanishi Koji, Hayashi Tsuyoshi, Takada Kohichi, Oku Takatomi, Ishiwatari Hirotoshi, Kogawa Takahiro, Takayama Tetsuji, Kato Junji, Niitsu Yoshiro
Fourth Dept. of Internal Medicine, Sapporo Medical University School of Medicine.
Gan To Kagaku Ryoho. 2004 Sep;31(9):1415-7.
The patient was a 78-year-old male with a history of colon cancer. After surgical resection of colon cancer, he suffered a multiple liver metastasis. We treated him by arterial infusion chemotherapy with the catheter edge embedded at the common hepatic artery. For a long period, the lesions were defined as partial response on WHO-criteria, but a wide area of the common hepatic artery was shrunk. After changing the treatment to systemic intravenous chemotherapy, the metastatic lesions began to enlarge. Then, we somehow were able to put a microcatheter into the replaced right hepatic artery (rRHA), and could restart arterial infusion chemotherapy. We continued this procedure for over a year without any complication.