Creation of a Cleft in an Angiography Catheter to Facilitate Catheterization of Branches of the Aorta Arising at an Acute Angle
The authors report on the use of a catheter with a cleft for catheterization of a branch artery arising from the aorta with an acute angle. The cleft was created on either the right or cephalad portion at the tip of a seated 4-F shepherd hook catheter in the artery origin, depending on vessel angula...
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| Published in | Journal of vascular and interventional radiology Vol. 19; no. 12; pp. 1769 - 1771 |
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| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
Elsevier Inc
01.12.2008
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1051-0443 1535-7732 1535-7732 |
| DOI | 10.1016/j.jvir.2008.08.024 |
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| Abstract | The authors report on the use of a catheter with a cleft for catheterization of a branch artery arising from the aorta with an acute angle. The cleft was created on either the right or cephalad portion at the tip of a seated 4-F shepherd hook catheter in the artery origin, depending on vessel angulation during chemoembolization procedures. This catheter was used in eight arteries—seven inferior phrenic arteries and one right subcostal artery—that could not be catheterized with a conventional coaxial technique. The microcatheter was successfully introduced into all eight vessels through the cleft without complications. |
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| AbstractList | The authors report on the use of a catheter with a cleft for catheterization of a branch artery arising from the aorta with an acute angle. The cleft was created on either the right or cephalad portion at the tip of a seated 4-F shepherd hook catheter in the artery origin, depending on vessel angulation during chemoembolization procedures. This catheter was used in eight arteries—seven inferior phrenic arteries and one right subcostal artery—that could not be catheterized with a conventional coaxial technique. The microcatheter was successfully introduced into all eight vessels through the cleft without complications. The authors report on the use of a catheter with a cleft for catheterization of a branch artery arising from the aorta with an acute angle. The cleft was created on either the right or cephalad portion at the tip of a seated 4-F shepherd hook catheter in the artery origin, depending on vessel angulation during chemoembolization procedures. This catheter was used in eight arteries-seven inferior phrenic arteries and one right subcostal artery-that could not be catheterized with a conventional coaxial technique. The microcatheter was successfully introduced into all eight vessels through the cleft without complications.The authors report on the use of a catheter with a cleft for catheterization of a branch artery arising from the aorta with an acute angle. The cleft was created on either the right or cephalad portion at the tip of a seated 4-F shepherd hook catheter in the artery origin, depending on vessel angulation during chemoembolization procedures. This catheter was used in eight arteries-seven inferior phrenic arteries and one right subcostal artery-that could not be catheterized with a conventional coaxial technique. The microcatheter was successfully introduced into all eight vessels through the cleft without complications. |
| Author | Morinaga, Kyoko Yamashiro, Masashi Aburano, Hiroyuki Okuda, Miho Miyayama, Shiro Shigenari, Noriaki Matsui, Osamu |
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| Cites_doi | 10.1148/rg.25si055508 10.1097/01.RVI.0000124953.24134.C2 10.1148/radiology.188.1.8390073 10.1007/s00270-004-0287-y 10.1148/88.1.1 10.1016/S1051-0443(98)70306-9 10.1007/BF02575465 10.1016/j.jvir.2006.12.004 10.3109/02841858809175014 10.1016/S1051-0443(07)61890-9 |
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| Keywords | HCC hepatocellular carcinoma |
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| References | Miyayama, Matsui, Taki (bib7) 2006; 29 Matsui, Kadoya, Yoshikawa (bib2) 1993; 188 Chung, Park, Han, Choi, Kim, Han (bib4) 1998; 9 Kiyosue, Matsumoto, Hori, Okahara, Sagara, Mori (bib10) 2004; 15 Kim, Chung, Lee, Jae, Park (bib5) 2005; 25 Kahn (bib8) 1967; 88 Miyayama, Matsui, Akakura (bib9) 2001; 12 Uchida, Ohishi, Matsuo (bib1) 1990; 13 Duprat, Charnsangavej, Wallace, Carrasco (bib6) 1988; 29 Miyayama, Matsui, Yamashiro (bib3) 2007; 18 Miyayama (10.1016/j.jvir.2008.08.024_bib3) 2007; 18 Kim (10.1016/j.jvir.2008.08.024_bib5) 2005; 25 Miyayama (10.1016/j.jvir.2008.08.024_bib9) 2001; 12 Kiyosue (10.1016/j.jvir.2008.08.024_bib10) 2004; 15 Duprat (10.1016/j.jvir.2008.08.024_bib6) 1988; 29 Chung (10.1016/j.jvir.2008.08.024_bib4) 1998; 9 Kahn (10.1016/j.jvir.2008.08.024_bib8) 1967; 88 Uchida (10.1016/j.jvir.2008.08.024_bib1) 1990; 13 Matsui (10.1016/j.jvir.2008.08.024_bib2) 1993; 188 Miyayama (10.1016/j.jvir.2008.08.024_bib7) 2006; 29 |
| References_xml | – volume: 18 start-page: 365 year: 2007 end-page: 376 ident: bib3 article-title: Ultraselective transcatheter arterial chemoembolization using a 2-F tip microcatheter for small hepatocellular carcinomas: relationship between local tumor recurrence and visualization of the portal vein with iodized oil publication-title: J Vasc Interv Radiol – volume: 88 start-page: 1 year: 1967 end-page: 8 ident: bib8 article-title: Selective angiography of the inferior phrenic arteries publication-title: Radiology – volume: 25 start-page: S25 year: 2005 end-page: S39 ident: bib5 article-title: Recognizing extrahepatic collateral vessels that supply hepatocellular carcinoma to avoid complications of transcatheter arterial chemoembolization publication-title: Radiographics – volume: 29 start-page: 427 year: 1988 end-page: 429 ident: bib6 article-title: Inferior phrenic artery embolization in the treatment of hepatic neoplasms publication-title: Acta Radiol – volume: 15 start-page: 641 year: 2004 end-page: 643 ident: bib10 article-title: Turn-back technique with use of a shaped microcatheter for superselective catheterization of arteries originating at acute angles publication-title: J Vasc Interv Radiol – volume: 188 start-page: 79 year: 1993 end-page: 83 ident: bib2 article-title: Small hepatocellular carcinoma: treatment with subsegmental transcatheter arterial embolization publication-title: Radiology – volume: 12 start-page: 497 year: 2001 end-page: 499 ident: bib9 article-title: Use of a catheter with a large side hole for selective catheterization of the inferior phrenic artery publication-title: J Vasc Interv Radiol – volume: 9 start-page: 495 year: 1998 end-page: 500 ident: bib4 article-title: Transcatheter oily chemoembolization of the inferior phrenic artery in hepatocellular carcinoma: the safety and potential therapeutic role publication-title: J Vasc Interv Radiol – volume: 13 start-page: 140 year: 1990 end-page: 145 ident: bib1 article-title: 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publication-title: Acta Radiol doi: 10.3109/02841858809175014 – volume: 12 start-page: 497 year: 2001 ident: 10.1016/j.jvir.2008.08.024_bib9 article-title: Use of a catheter with a large side hole for selective catheterization of the inferior phrenic artery publication-title: J Vasc Interv Radiol doi: 10.1016/S1051-0443(07)61890-9 |
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| SubjectTerms | Aged Aged, 80 and over Angiography - instrumentation Aorta Carcinoma, Hepatocellular - blood supply Carcinoma, Hepatocellular - diagnostic imaging Carcinoma, Hepatocellular - therapy Catheterization - instrumentation Chemoembolization, Therapeutic - instrumentation Diaphragm - blood supply Equipment Design Female Humans Liver Neoplasms - blood supply Liver Neoplasms - diagnostic imaging Liver Neoplasms - therapy Male Middle Aged Radiology Retrospective Studies |
| Title | Creation of a Cleft in an Angiography Catheter to Facilitate Catheterization of Branches of the Aorta Arising at an Acute Angle |
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