Nuclear imaging in the identification of aberrant vascular anatomy prior to hepatic arterial infusion
Hepatic arterial infusion (HAI) pumps are a specialized therapeutic modality designed to deliver high dose local chemotherapy to hepatic metastases in carefully selected patients resulting in improved survival, with patients living an average of 2 years longer than those who did not receive HAI pump...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-06-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322002898 |
| _version_ | 1828843750699302912 |
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| author | Tristan R. Lawson, MD Jennifer A. Schroeder, MD |
| author_facet | Tristan R. Lawson, MD Jennifer A. Schroeder, MD |
| author_sort | Tristan R. Lawson, MD |
| collection | DOAJ |
| description | Hepatic arterial infusion (HAI) pumps are a specialized therapeutic modality designed to deliver high dose local chemotherapy to hepatic metastases in carefully selected patients resulting in improved survival, with patients living an average of 2 years longer than those who did not receive HAI pumps. While beneficial, these chemoinfusion pumps require a multidisciplinary approach to ensure safe and effective treatment for the patient. Here, we present a case where scintigraphic evaluation by the nuclear medicine department directly affected management of a patient with a hepatic arterial infusion pump. Variant vascular anatomy was initially discovered on the postoperative Tc-99m MAA SPECT/CT and was ultimately embolized by interventional radiology prior to initiation of chemoinfusion. This case report demonstrates the utility of obtaining nuclear medicine scintigraphy prior to chemoinfusion in patients with hepatic arterial infusion pumps. |
| first_indexed | 2024-12-12T20:52:36Z |
| format | Article |
| id | doaj.art-d15dfdc20c694b01856e2e2c4172a021 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-12-12T20:52:36Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-d15dfdc20c694b01856e2e2c4172a0212022-12-22T00:12:23ZengElsevierRadiology Case Reports1930-04332022-06-0117622532256Nuclear imaging in the identification of aberrant vascular anatomy prior to hepatic arterial infusionTristan R. Lawson, MD0Jennifer A. Schroeder, MD1Department of Diagnostic Radiology, Atrium Health Wake Forest Baptist, Winston-Salem, NC 27157 USA; Corresponding author.Atrium Health Wake Forest Baptist, Winston-Salem, NC 27157 USAHepatic arterial infusion (HAI) pumps are a specialized therapeutic modality designed to deliver high dose local chemotherapy to hepatic metastases in carefully selected patients resulting in improved survival, with patients living an average of 2 years longer than those who did not receive HAI pumps. While beneficial, these chemoinfusion pumps require a multidisciplinary approach to ensure safe and effective treatment for the patient. Here, we present a case where scintigraphic evaluation by the nuclear medicine department directly affected management of a patient with a hepatic arterial infusion pump. Variant vascular anatomy was initially discovered on the postoperative Tc-99m MAA SPECT/CT and was ultimately embolized by interventional radiology prior to initiation of chemoinfusion. This case report demonstrates the utility of obtaining nuclear medicine scintigraphy prior to chemoinfusion in patients with hepatic arterial infusion pumps.http://www.sciencedirect.com/science/article/pii/S1930043322002898Nuclear medicineColon cancerHepatic arterial infusionVascular |
| spellingShingle | Tristan R. Lawson, MD Jennifer A. Schroeder, MD Nuclear imaging in the identification of aberrant vascular anatomy prior to hepatic arterial infusion Radiology Case Reports Nuclear medicine Colon cancer Hepatic arterial infusion Vascular |
| title | Nuclear imaging in the identification of aberrant vascular anatomy prior to hepatic arterial infusion |
| title_full | Nuclear imaging in the identification of aberrant vascular anatomy prior to hepatic arterial infusion |
| title_fullStr | Nuclear imaging in the identification of aberrant vascular anatomy prior to hepatic arterial infusion |
| title_full_unstemmed | Nuclear imaging in the identification of aberrant vascular anatomy prior to hepatic arterial infusion |
| title_short | Nuclear imaging in the identification of aberrant vascular anatomy prior to hepatic arterial infusion |
| title_sort | nuclear imaging in the identification of aberrant vascular anatomy prior to hepatic arterial infusion |
| topic | Nuclear medicine Colon cancer Hepatic arterial infusion Vascular |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322002898 |
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