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Titolo:
Right gastric artery embolization to prevent acute gastric mucosal lesionsin patients undergoing repeat hepatic arterial infusion chemotherapy
Autore:
Inaba, Y; Arai, Y; Matsueda, K; Takeuchi, Y; Aramaki, T;
Indirizzi:
Aichi Canc Ctr, Dept Diagnost Radiol, Chikusa Ku, Nagoya, Aichi 4648681, Japan Aichi Canc Ctr Nagoya Aichi Japan 4648681 u, Nagoya, Aichi 4648681, Japan Kyoto First Red Cross Hosp, Dept Radiol, Kyoto, Japan Kyoto First Red Cross Hosp Kyoto Japan Hosp, Dept Radiol, Kyoto, Japan
Titolo Testata:
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
fascicolo: 8, volume: 12, anno: 2001,
pagine: 957 - 963
SICI:
1051-0443(200108)12:8<957:RGAETP>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
GASTRODUODENAL ULCERATIONS; COLORECTAL-CANCER; OCCLUSION; CATHETER; COMPLICATIONS; METASTASES; MICROCOILS; TOXICITY; LIVER; PUMP;
Keywords:
chemotherapy, complications; embolization, gastric artery; liver neoplasms, chemotherapeutic infusion;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
37
Recensione:
Indirizzi per estratti:
Indirizzo: Inaba, Y Aichi Canc Ctr, Dept Diagnost Radiol, Chikusa Ku, 1-1 Kanokoden, Nagoya, Aichi 4648681, Japan Aichi Canc Ctr 1-1 Kanokoden Nagoya Aichi Japan 4648681 81, Japan
Citazione:
Y. Inaba et al., "Right gastric artery embolization to prevent acute gastric mucosal lesionsin patients undergoing repeat hepatic arterial infusion chemotherapy", J VAS INT R, 12(8), 2001, pp. 957-963

Abstract

PURPOSE: The purpose of the study was to investigate the technical outcomeand clinical effect of right gastric artery (RGA) embolization to prevent acute gastric mucosal lesions caused by influx of anticancer agents into the RGA in patients undergoing repeat hepatic arterial infusion chemotherapy (HAIC). MATERIALS AND METHODS: In 217 patients with malignant hepatic tumors, we attempted RGA embolization with use of metallic coils and/or a mixture of n-butyl cyanoacrylate (n-BCA) and iodized oil, along with the embolization ofthe gastroduodenal artery. After this procedure, an infusion catheter was placed radiologically and HAIC was performed. We then evaluated the technical outcome and clinical effect of RGA embolization. RESULTS: RGA embolization was technically successful in 201 of 217 patients (93%). Major complications-nausea, epigastric pain, and fever-were noted in 12%, 4%, and 2% of successful cases, respectively, and were treated conservatively. Recanalization occurred in 4% (nine of 201) of the patients. Eventually, sufficient RGA embolization was achieved in 192 patients. The incidence of acute gastric mucosal lesions confirmed endoscopically was only 3% (five of 192) in patients with sufficient RGA embolization, whereas it was 36% (nine of 25) in patients without sufficient RGA embolization, with a significant difference (P < .01). CONCLUSION: RGA embolization is a highly feasible procedure that can reduce the incidence of acute gastric mucosal lesions associated with HAIC.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/04/20 alle ore 19:41:52