Convection Enhanced Delivery of Topotecan for Gliomas: A Single-Center Experience

A key limitation to glioma treatment involves the blood brain barrier (BBB). Convection enhanced delivery (CED) is a technique that uses a catheter placed directly into the brain parenchyma to infuse treatments using a pressure gradient. In this manuscript, we describe the physical principles behind...

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Main Authors: Pavan S. Upadhyayula, Eleonora F. Spinazzi, Michael G. Argenziano, Peter Canoll, Jeffrey N. Bruce
Format: Article
Language:English
Published: MDPI AG 2020-12-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/13/1/39
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author Pavan S. Upadhyayula
Eleonora F. Spinazzi
Michael G. Argenziano
Peter Canoll
Jeffrey N. Bruce
author_facet Pavan S. Upadhyayula
Eleonora F. Spinazzi
Michael G. Argenziano
Peter Canoll
Jeffrey N. Bruce
author_sort Pavan S. Upadhyayula
collection DOAJ
description A key limitation to glioma treatment involves the blood brain barrier (BBB). Convection enhanced delivery (CED) is a technique that uses a catheter placed directly into the brain parenchyma to infuse treatments using a pressure gradient. In this manuscript, we describe the physical principles behind CED along with the common pitfalls and methods for optimizing convection. Finally, we highlight our institutional experience using topotecan CED for the treatment of malignant glioma.
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spelling doaj.art-3933523317a84f3895b8b0bf7135cff92023-11-21T03:04:52ZengMDPI AGPharmaceutics1999-49232020-12-011313910.3390/pharmaceutics13010039Convection Enhanced Delivery of Topotecan for Gliomas: A Single-Center ExperiencePavan S. Upadhyayula0Eleonora F. Spinazzi1Michael G. Argenziano2Peter Canoll3Jeffrey N. Bruce4Department of Neurological Surgery, Columbia University Irving Medical Center, New York, NY 10032, USADepartment of Neurological Surgery, Columbia University Irving Medical Center, New York, NY 10032, USADepartment of Neurological Surgery, Columbia University Irving Medical Center, New York, NY 10032, USADepartment of Cell Biology and Pathology, Columbia University Irving Medical Center, New York, NY 10032, USADepartment of Neurological Surgery, Columbia University Irving Medical Center, New York, NY 10032, USAA key limitation to glioma treatment involves the blood brain barrier (BBB). Convection enhanced delivery (CED) is a technique that uses a catheter placed directly into the brain parenchyma to infuse treatments using a pressure gradient. In this manuscript, we describe the physical principles behind CED along with the common pitfalls and methods for optimizing convection. Finally, we highlight our institutional experience using topotecan CED for the treatment of malignant glioma.https://www.mdpi.com/1999-4923/13/1/39convection enhanced deliverygliomaglioblastomatopotecan
spellingShingle Pavan S. Upadhyayula
Eleonora F. Spinazzi
Michael G. Argenziano
Peter Canoll
Jeffrey N. Bruce
Convection Enhanced Delivery of Topotecan for Gliomas: A Single-Center Experience
Pharmaceutics
convection enhanced delivery
glioma
glioblastoma
topotecan
title Convection Enhanced Delivery of Topotecan for Gliomas: A Single-Center Experience
title_full Convection Enhanced Delivery of Topotecan for Gliomas: A Single-Center Experience
title_fullStr Convection Enhanced Delivery of Topotecan for Gliomas: A Single-Center Experience
title_full_unstemmed Convection Enhanced Delivery of Topotecan for Gliomas: A Single-Center Experience
title_short Convection Enhanced Delivery of Topotecan for Gliomas: A Single-Center Experience
title_sort convection enhanced delivery of topotecan for gliomas a single center experience
topic convection enhanced delivery
glioma
glioblastoma
topotecan
url https://www.mdpi.com/1999-4923/13/1/39
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AT michaelgargenziano convectionenhanceddeliveryoftopotecanforgliomasasinglecenterexperience
AT petercanoll convectionenhanceddeliveryoftopotecanforgliomasasinglecenterexperience
AT jeffreynbruce convectionenhanceddeliveryoftopotecanforgliomasasinglecenterexperience