Abstract
Malignant disease, even when metastatic, frequently produces symptoms and causes death by growth in relatively localized areas. Local therapy by the judicious use of surgery and irradiation (external beam and isotope implantation) has traditionally occupied an important place in the systematic management of patients with advanced malignancy. Systemic chemotherapy can also be used to treat predominantly regional disease, and the intraarterial delivery of chemotherapeutic agents can provide a greater degree of selectivity. When drugs are administered intraarterially, the local concentrations and infusion durations are greater than when the same agents are administered intravenously. At the same time, systemic toxicity is frequently reduced because of the absorption or inactivation, or both, of the drug on passage through the arterial bed. Although the procedure is technically more difficult, effluent drug-containing blood has been diverted from the systemic circulation or prevented from reaching sensitive normal tissues during the drug infusion.
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Lundberg, W.B. (1977). Intraarterial Chemotherapy. In: Becker, F.F. (eds) Chemotherapy. Cancer, vol 5. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-6628-1_7
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