Department of Medical Oncology, Anhui Provincial Cancer Hospital, Anhui Medical University, 107 Huanhu Road East, Hefei, 230031, People's Republic of China.
Cancer Chemother Pharmacol. 2013 Oct;72(4):889-96. doi: 10.1007/s00280-013-2271-1. Epub 2013 Aug 22.
To assess the clinical efficacy of targeted arterial perfusion of verapamil and chemotherapeutic agents in the interventional therapy of lung cancer.
Forty patients with advanced lung cancer underwent treatment with targeted arterial perfusion of verapamil and chemotherapeutic agents using Seldinger technique. Interventional therapy was performed once a month, and each subject received interventional treatment for 2 or more cycles. The therapeutic efficacy was evaluated 2 months post-treatment.
Out of 40 patients with advanced lung cancer, 5 cases achieved complete remission (CR) and 29 cases achieved partial remission (PR), with a total effectiveness (CR + PR) rate of 85 %. Besides, 32 cases achieved significantly alleviated clinical symptoms, and 29 cases had decreased clinical tumor stage. All subjects had stable karnofsky performance status score and body weight. Among the 40 patients, 13 cases had leucopenia, 10 cases had gastrointestinal reactions, 3 cases presented with elevated alanine aminotransferase/aspartate aminotransferase ratio, and 3 cases had fever. However, all these side effects relieved quickly. No elevation of BUN/Cr ratio and allergic reactions was observed. No significant changes in cardiac function and electrocardiogram were noticed after the treatment.
Targeted arterial perfusion of verapamil and chemotherapeutic drugs can improve the clinical symptoms of patients with advanced lung cancer and increase the efficacy of chemotherapeutic agents, thereby providing an opportunity for radiotherapy or surgical treatment for advanced lung cancer.
评价维拉帕米联合化疗药物靶向动脉灌注介入治疗肺癌的临床疗效。
40 例晚期肺癌患者采用 Seldinger 技术行维拉帕米联合化疗药物靶向动脉灌注介入治疗,每月治疗 1 次,每例患者至少接受 2 个周期的介入治疗,治疗后 2 个月评价疗效。
40 例晚期肺癌患者中,完全缓解(CR)5 例,部分缓解(PR)29 例,总有效率(CR+PR)为 85%;32 例患者临床症状明显缓解,29 例患者临床肿瘤分期降低;卡氏功能状态评分和体质量均较稳定。40 例患者中白细胞减少 13 例,胃肠道反应 10 例,丙氨酸氨基转移酶/天门冬氨酸氨基转移酶比值升高 3 例,发热 3 例,均迅速缓解。未见尿素氮/肌酐比值升高及过敏反应。治疗后心功能及心电图无明显变化。
维拉帕米联合化疗药物靶向动脉灌注可改善晚期肺癌患者的临床症状,提高化疗药物的疗效,为晚期肺癌的放疗或手术治疗争取机会。