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British Journal of Radiology 75 (2002),799-804 © 2002 The British Institute of Radiology

Full paper

Brain infarction after percutaneous implantation of port-catheter system via the left subclavian artery

T Hirota, MD T Yamagami, MD, PhD O Tanaka, MD S Iida, MD T Kato, MD T Nakamura, MD, PhD K Ishihara, MD, PhD and T Nishimura, MD, PhD

Department of Radiology, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo, Kyoto, 602-8566, Japan

The aim of this study was to evaluate the incidence of brain infarction after percutaneous implantation of a port-catheter system via the left subclavian artery for hepatic arterial infusion chemotherapy. In 90 patients with inoperable liver cancer, a port-catheter system was implanted via the left subclavian artery. In 5 patients (5.6%) brain infarction occurred after port-catheter implantation. In one patient (1.1%) thrombi formed around the catheter, as confirmed by autopsy. The risk of brain infarction should be taken into consideration when a trans-left subclavian arterial access route is used for the percutaneous implantation of a port-catheter system for hepatic arterial infusion chemotherapy.




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