Purpose: Introduction of a personal technique of percutaneous angiographic approach in performing thoracic, abdominal and pelvic stop-flow perfusions. Methods: 110 procedures, 28 of them thoracic, 52 abdominal and 30 pelvic have been executed in 87 patients. 8F latex balloon catheters (diameter 4 cm) introduced through 11F sheats have been placed in descending thoracic or infrarenal aorta and inferior vena cava using a percutaneous venous (108/110) and arterial (104/110) femoral approach (70/72). An uncommon left axillary arterial approach was employed in 6/110 sessions, a right venous brachial approach in 2/110 sessions. Results: All treatments were successfully completed; in 15% of them technical or clinical complications appeared; two patients deceased within 24 hours after thoracic and one after abdominal per fusion. Conclusions: Flow-controlled antiblastic perfusions may improve QOL and morphological results in patients with advanced and extensive tumours of the chest, abdomen and pelvis. As compared to surgical exposure of the femoral vessels the percutaneous technique is easier to repeat, demonstrates an equivalent occlusive efficacy and therapeutic effect with shorter time of hospitalization, with no risk of technical failures and a substantial overall cost reduction.
|Number of pages||6|
|Journal||Regional Cancer Treatment|
|Publication status||Published - 1996|
- Interventional radiology
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