Interventional radiological procedures in impaired function of surgically implanted catheter-port systems.

Abstract:

PURPOSE:System-related complications in surgically implanted catheter-port systems (CPS) for intraarterial (i.a.) chemotherapy are well known. In most cases of complications, the treatment must be interrupted and the catheter-port system must be repaired surgically. We describe microinvasive interventional radiological procedures to correct some dysfunctions of CPS. METHODS:Five patients with repetitive dysfunction of CPS were treated with interventional techniques. Two patients presented with perfusion impairment, one patient had a pseudoaneurysm of the hepatic artery, and two patients presented with catheter displacement. Radiological interventions included mechanical recanalization with a guidewire, vascular stenting, and correction of catheter dislocation with a goose-neck snare. RESULTS:In all cases, correct function of the CPS was restored. No intervention-related complications occurred and surgery was avoided. Chemotherapy could be continued for a period of 4--10 months. CONCLUSION:For some system-related complications, minimally invasive radiological interventions can be used to restore the function of CPS for i.a. chemotherapy.

authors

Herrmann KA,Waggershauser T,Heinemann V,Reiser M

doi

10.1007/s002700001714

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

31-6

issue

1

eissn

0174-1551

issn

1432-086X

pii

10.1007/s002700001714

journal_volume

24

pub_type

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