Flow-Directed Catheters in Hepatic Embolization Therapy—A Review with Clinical Cases
Transarterial embolization with chemotherapy and radiation is well-documented forms of treatment for liver cancers but reflux of embolic particles to nontarget tissues can result in unintended consequences such as gastrointestinal ulceration. Traditionally, operators have used coil embolization of h...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2021-05-01
|
| Series: | Journal of Clinical Interventional Radiology ISVIR |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1729491 |
| _version_ | 1818847575011229696 |
|---|---|
| author | Shams Iqbal Lawrence Jordan Breyfogle Sebastian Flacke |
| author_facet | Shams Iqbal Lawrence Jordan Breyfogle Sebastian Flacke |
| author_sort | Shams Iqbal |
| collection | DOAJ |
| description | Transarterial embolization with chemotherapy and radiation is well-documented forms of treatment for liver cancers but reflux of embolic particles to nontarget tissues can result in unintended consequences such as gastrointestinal ulceration. Traditionally, operators have used coil embolization of hepatoenteric collaterals to prevent reflux. Antireflux microcatheters that contain expandable baskets (Surefire) or inflatable balloons have recently been developed as tools to avoid these side effects. We describe cases where antireflux catheters were used instead of coil embolization. Using antireflux catheters, we eliminated particle reflux into nontarget vessels. We also review the literature on antireflux catheters involved in preventing reflux during chemo- and radioembolization. |
| first_indexed | 2024-12-19T06:03:37Z |
| format | Article |
| id | doaj.art-3161d2648c9c4a24820ac83a9d773bab |
| institution | Directory Open Access Journal |
| issn | 2456-4869 |
| language | English |
| last_indexed | 2024-12-19T06:03:37Z |
| publishDate | 2021-05-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Journal of Clinical Interventional Radiology ISVIR |
| spelling | doaj.art-3161d2648c9c4a24820ac83a9d773bab2022-12-21T20:33:13ZengThieme Medical Publishers, Inc.Journal of Clinical Interventional Radiology ISVIR2456-48692021-05-0150209910510.1055/s-0041-1729491Flow-Directed Catheters in Hepatic Embolization Therapy—A Review with Clinical CasesShams Iqbal0Lawrence Jordan Breyfogle1Sebastian Flacke2Department of Radiology, Lahey Hospital & Medical Center, Burlington, Massachusetts, United StatesDepartment of Radiology, Tufts University School of Medicine, Boston, Massachusetts, United StatesDepartment of Radiology, Lahey Hospital & Medical Center, Burlington, Massachusetts, United StatesTransarterial embolization with chemotherapy and radiation is well-documented forms of treatment for liver cancers but reflux of embolic particles to nontarget tissues can result in unintended consequences such as gastrointestinal ulceration. Traditionally, operators have used coil embolization of hepatoenteric collaterals to prevent reflux. Antireflux microcatheters that contain expandable baskets (Surefire) or inflatable balloons have recently been developed as tools to avoid these side effects. We describe cases where antireflux catheters were used instead of coil embolization. Using antireflux catheters, we eliminated particle reflux into nontarget vessels. We also review the literature on antireflux catheters involved in preventing reflux during chemo- and radioembolization.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1729491hepatic embolizationflow-directed cathetersantireflux catheters |
| spellingShingle | Shams Iqbal Lawrence Jordan Breyfogle Sebastian Flacke Flow-Directed Catheters in Hepatic Embolization Therapy—A Review with Clinical Cases Journal of Clinical Interventional Radiology ISVIR hepatic embolization flow-directed catheters antireflux catheters |
| title | Flow-Directed Catheters in Hepatic Embolization Therapy—A Review with Clinical Cases |
| title_full | Flow-Directed Catheters in Hepatic Embolization Therapy—A Review with Clinical Cases |
| title_fullStr | Flow-Directed Catheters in Hepatic Embolization Therapy—A Review with Clinical Cases |
| title_full_unstemmed | Flow-Directed Catheters in Hepatic Embolization Therapy—A Review with Clinical Cases |
| title_short | Flow-Directed Catheters in Hepatic Embolization Therapy—A Review with Clinical Cases |
| title_sort | flow directed catheters in hepatic embolization therapy a review with clinical cases |
| topic | hepatic embolization flow-directed catheters antireflux catheters |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1729491 |
| work_keys_str_mv | AT shamsiqbal flowdirectedcathetersinhepaticembolizationtherapyareviewwithclinicalcases AT lawrencejordanbreyfogle flowdirectedcathetersinhepaticembolizationtherapyareviewwithclinicalcases AT sebastianflacke flowdirectedcathetersinhepaticembolizationtherapyareviewwithclinicalcases |