- 원발성 간암의 치료에 있어서 항암제 주입을 위한 경피 간동맥 도관술
- ㆍ 저자명
- 전제량
- ㆍ 간행물명
- 대한방사선의학회지
- ㆍ 권/호정보
- 1984년|20권 3호|pp.623-631 (9 pages)
- ㆍ 발행정보
- 대한영상의학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Chemotherapy offers palliative treatment to patient with advanced nonresectable hepatoma. The usefulness of systemic chemotherapy is limited because of serious side reaction and low concentration of drug at tumor. But this problem may be overcome by intraarterial infusion. Nonsurgical percutaneous hepatic arterial cateterization was done in 21 patients with primary hepatoma, and infusion chemotherapy was done in 19 patients who were successful in catheterization. The results were as follows : 1. Selective catheteization of hepatic artery proper, common hepatic artery, and celiac artery were successful in 4,9 and 4 patients, repectively. The success rate of selective catheterization is 80.9% including celiac artery among 21 patients with hepatoma. 2. Simple catheterization method was applied in 14 patients, and catheter exchange and loop methods were applied in 2 and 1 patient respectively. 3. Complications related to catheterization, such as infection and bleeding on punctured site, intimal injury and dislodgement of catheter were not serious. 4. Drugs were well tolerated without serious toxicity or complication. 5. 3 patients showed objective response and median survival time of treated patients is 2.5 months