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Posttreatment PET-CT-Confirmed Intrahepatic Radioembolization Performed Without Coil Embolization, by Using the Antireflux Surefire Infusion System

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An Erratum to this article was published on 17 August 2013

Abstract

Intra-arterial radioembolization with yttrium-90 microspheres is a safe and effective treatment option for patients with unresectable liver tumors. Pretreatment coil embolization of extrahepatic vessels is recommended to avoid extrahepatic deposition of radioactive microspheres. A novel infusion system with an expandable tip, the Surefire Infusion System (SIS), has recently been developed to minimize reflux. We report three cases of radioembolization with the use of the SIS. In all cases, yttrium-90 radioembolization was performed successfully without coil embolization of extrahepatic vessels. In all patients, positron emission tomography-computed tomography confirmed intrahepatic biodistribution of the microspheres in all targeted liver segments, and no extrahepatic deposition. With the use of the SIS, the need for coil embolization of extrahepatic vessels might be eliminated, and treatment may be extended to patients who were previously deemed unfit.

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Conflict of interest

Andor F. van den Hoven, Jip F. Prince, Morsal Samim, Bernard A. Zonneberg, Marnix G. E. H. Lam, and Maurice A. A. J. van den Bosch have no conflict of interest. Aravind Arepally has indicated that he is consultant for Surefire Medical Inc.

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Authors and Affiliations

  1. Department of Radiology and Nuclear Medicine, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands

    Andor F. van den Hoven, Jip F. Prince, Morsal Samim, Bernard A. Zonneberg, Marnix G. E. H. Lam & Maurice A. A. J. van den Bosch

  2. Department of Interventional Radiology, Piedmont Healthcare, Atlanta, GA, 30309, USA

    Aravind Arepally

Authors
  1. Andor F. van den Hoven
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  2. Jip F. Prince
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  3. Morsal Samim
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  4. Aravind Arepally
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  5. Bernard A. Zonneberg
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  6. Marnix G. E. H. Lam
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  7. Maurice A. A. J. van den Bosch
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Correspondence to Andor F. van den Hoven.

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van den Hoven, A.F., Prince, J.F., Samim, M. et al. Posttreatment PET-CT-Confirmed Intrahepatic Radioembolization Performed Without Coil Embolization, by Using the Antireflux Surefire Infusion System. Cardiovasc Intervent Radiol 37, 523–528 (2014). https://doi.org/10.1007/s00270-013-0674-3

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  • DOI: https://doi.org/10.1007/s00270-013-0674-3

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