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Review
. 2020 Jul;122(1):70-77.
doi: 10.1002/jso.25913. Epub 2020 Mar 25.

Hepatic artery infusion pumps

Cornelius A Thiels  1 , Michael I D'Angelica  1
Affiliations
Review

Hepatic artery infusion pumps

Cornelius A Thiels et al. J Surg Oncol. 2020 Jul.

Abstract

The preferential blood supply from the hepatic artery to liver tumors allows for the regional delivery of chemotherapy, commonly referred to as hepatic artery infusion chemotherapy via a subcutaneous pump. Hepatic artery infusion chemotherapy has been demonstrated to improve overall survival in select patients with colorectal liver metastasis and is a promising treatment for unresectable intrahepatic cholangiocarcinoma. This review focuses on the technical aspects of hepatic artery infusion pump placement.

Keywords: colorectal neoplasms; hepatic artery infusion chemotherapy; liver neoplasms; pump; techniques.

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Conflict of interest statement

CONFLICT OF INTERESTS

The authors declare that there are no conflict of interests.

Figures

FIGURE 1
FIGURE 1
Standard placement location for hepatic artery infusion chemotherapy (HAIC) pump
FIGURE 2
FIGURE 2
Standard placement of the catheter into the gastroduodenal artery in the setting of normal anatomy
FIGURE 3
FIGURE 3
Postoperative Tc99-labeled macroaggregated albumin injection scan utilizing SPECT/CT of a patient with normal bilobar perfusion of the liver (A) and no extra-hepatic perfusion (B) compared to a second patient with normal bilobar perfusion of the liver (C) but with extra-hepatic perfusion of the pancreas (arrow, D)
See this image and copyright information in PMC

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