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Feasibility and safety of transfemoral intra-arterial chemotherapy for head and neck cancer using a 3-French catheter system: comparison with a 4-French catheter system

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Abstract

Purpose

To assess the technical feasibility of transfemoral intra-arterial chemotherapy for head and neck cancer using a 3-French catheter system (3-Fr).

Materials and methods

Sixty-two patients with head and neck cancer who underwent transfemoral intra-arterial chemotherapy were included in this study. Thirty-three patients underwent treatment using a 3-Fr (group 3-Fr). Twenty-nine patients underwent treatment using a 4-French catheter system (group 4-Fr). The technical success rate, duration of the procedure with fluoroscopy, and rate of procedure-related complications were compared between group 3-Fr and group 4-Fr. In addition, in group 3-Fr, bleeding at the puncture site after 1.5 h of bed rest was evaluated.

Results

The technical success rate was 100 % in both groups. The duration of the procedure with fluoroscopy didn’t differ between group 3-Fr (mean 28.0 min) and group 4-Fr (mean 30.2 min) (p = 0.524). There was no procedure-related complication in either group. In group 3-Fr, no hemorrhagic complication was observed.

Conclusion

A 3-French catheter system can be used to perform transfemoral intra-arterial chemotherapy for head and neck cancer and is technically feasible with approximately the same duration of the procedure with fluoroscopy. Furthermore, this method may shorten the bed rest time without hemorrhagic complication, and may reduce the risk of pulmonary embolism.

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Authors and Affiliations

  1. Department of Diagnostic Radiology, Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama, 701-0192, Japan

    Shigeru Watanabe, Akira Yamamoto, Teruyuki Torigoe, Akihiko Kanki, Tsutomu Tamada & Katsuyoshi Ito

Authors
  1. Shigeru Watanabe
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  2. Akira Yamamoto
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  3. Teruyuki Torigoe
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  4. Akihiko Kanki
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  5. Tsutomu Tamada
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  6. Katsuyoshi Ito
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Correspondence to Akira Yamamoto.

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Watanabe, S., Yamamoto, A., Torigoe, T. et al. Feasibility and safety of transfemoral intra-arterial chemotherapy for head and neck cancer using a 3-French catheter system: comparison with a 4-French catheter system. Jpn J Radiol 34, 148–153 (2016). https://doi.org/10.1007/s11604-015-0507-1

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  • DOI: https://doi.org/10.1007/s11604-015-0507-1

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