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Application of side-hole catheter technique for transradial arterial chemoembolization in patients with hepatocellular carcinoma

  • Interventional Radiology
  • Published:
Abdominal Radiology Aims and scope Submit manuscript

Abstract

Purpose

The purpose of this study was to retrospectively evaluate the efficacy and safety of side-hole catheter technique for transarterial chemoembolization (TACE) via transradial artery access (TRA) in patients with hepatocellular carcinoma.

Materials and methods

From November 2015 to August 2017, a total of 1040 TACE procedures were performed via TRA for hepatocellular carcinoma. In 10 (1%) of these 1040 TACE procedures via TRA, conventional microcatheter technique (CMT) failed and side-hole catheter technique was attempted.

Results

Ten procedures of selective catheterizations by CMT failed due to the poor stability of the angiographic catheters or the target artery arising from the very proximal portion of the parent artery. These arteries included the right inferior phrenic artery in eight patients, one left gastric artery, and one right renal capsular artery. Cobra or MPA catheter with the microcatheter through the side-hole yielded a technical success rate of 100%. No procedure-related complications were observed. The mean time required to catheterize the target artery with the side-hole catheter was 9.5 min (5–15 min).

Conclusion

Side-hole catheter technique may enable the completion of chemoembolization in cases that a potential tumor-feeding vessel cannot be catheterized by means of CMT for TACE via TRA.

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Author notes

  1. Xiao-Xi Meng, Hua-Qiang Liao, Hong-Chao Liu, Hai-Lin Jiang, Ya-Feng Gu, and Xi Li contributed equally to this work and thus share first authorship.

Authors and Affiliations

  1. Department of Interventional Radiology, Changzheng Hospital, The Second Military Medical University, Shanghai, 200003, China

    Xiao-Xi Meng, Hua-Qiang Liao, Hong-Chao Liu, Hai-Lin Jiang, Ya-Feng Gu, Xi Li & Wei-Hua Dong

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  1. Xiao-Xi Meng
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  2. Hua-Qiang Liao
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  7. Wei-Hua Dong
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Correspondence to Wei-Hua Dong.

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Meng, XX., Liao, HQ., Liu, HC. et al. Application of side-hole catheter technique for transradial arterial chemoembolization in patients with hepatocellular carcinoma. Abdom Radiol 44, 3195–3199 (2019). https://doi.org/10.1007/s00261-019-02072-6

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  • DOI: https://doi.org/10.1007/s00261-019-02072-6

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