Fujita M, Kuroda C, Hosomi N, Inoue E, Kuriyama K, Ohhigashi H, Kishimoto S, Ishikawa O, Nakaizumi A
Department of Diagnostic Radiology, Center for Adult Diseases, Osaka, Japan.
J Vasc Interv Radiol. 1995 Jan-Feb;6(1):119-23. doi: 10.1016/s1051-0443(95)71074-0.
To evaluate the usefulness of a dye-injection method in the placement of an infusion catheter and port via proximal branches of the axillary artery for hepatic infusion chemotherapy.
Sixteen patients with surgically unresectable hepatic cancer underwent transfemoral hepatic arteriography. Then a 3-F coaxial catheter was inserted into a proximal branch of the left axillary artery. Dye injected through the coaxial catheter during the surgical procedure improved the visualization of the target branch. The coaxial catheter was also used as a guide for retrograde insertion through the target branch of an infusion catheter into the descending aorta.
In 13 of 16 patients (81%), catheterization was successful without exposure of the axillary artery. In these patients, the acromial-deltoid branch of the thoracoacromial artery was chosen as the target.
Injection of dye simplifies the surgical procedure for placement of a hepatic infusion catheter via proximal branches of the axillary artery. The depth and extent of incisions, as well as the risk of nerve injury, are reduced.
评估染料注射法在经腋动脉近端分支放置输注导管和端口以进行肝灌注化疗中的实用性。
16例手术无法切除的肝癌患者接受了经股肝动脉造影。然后将一根3F同轴导管插入左腋动脉的近端分支。手术过程中通过同轴导管注入染料改善了目标分支的可视化。同轴导管还用作引导，通过输注导管的目标分支逆行插入降主动脉。
16例患者中有13例（81%）成功插管，无需暴露腋动脉。在这些患者中，胸肩峰动脉的肩峰三角肌支被选为目标。
染料注射简化了经腋动脉近端分支放置肝输注导管的手术过程。减少了切口的深度和范围以及神经损伤的风险。
