Preoperative therapy for advanced pelvic malignancy by isolated pelvic perfusion with the balloon-occlusion technique

1996 ◽  
Vol 3 (3) ◽  
pp. 295-303 ◽  
Author(s):  
Harold J. Wanebo ◽  
Maureen A. Chung ◽  
Audrey I. Levy ◽  
Peter S. Turk ◽  
Michael P. Vezeridis ◽  
...  
Keyword(s):  
Balloon Occlusion ◽  
Preoperative Therapy ◽  
Pelvic Malignancy ◽  
Isolated Pelvic Perfusion ◽  
Occlusion Technique ◽  
Pelvic Perfusion ◽  
Balloon Occlusion Technique

Isolated chemotherapeutic perfusion as neoadjuvant therapy for advanced/unresectable plevic malignancy.

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. e13561-e13561
Author(s):  
Harold J. Wanebo ◽  
Michael Ross DiSiena ◽  
James Belliveau ◽  
Eric Gustafson
Keyword(s):  
Rectal Cancer ◽  
Advanced Rectal Cancer ◽  
Balloon Occlusion ◽  
High Dose ◽  
Pelvic Cancer ◽  
Isolated Pelvic Perfusion ◽  
Occlusion Technique ◽  
Pelvic Perfusion ◽  
Phenyl Alanine ◽  
Cell Support

e13561 Background: Isolated pelvic perfusion (IPP) may have value in therapy of recurrent pelvic malignancy following previous surgery and chemoradiation. We performed 113 IPP in 78 such pts (34 palliation, and 44 pre op) using a simplified balloon occlusion technique. Methods: Of 42 patients (pts) with recurrent rectal cancer (ca), 26 had preop and 16 had palliative IPP. Other pelvic cancers included anal canal (8 pts), pelvic sarcoma (5 pts), melanoma (M) (4 pts), endometrial ca (EC) 2 pts, ovarian ca (OC) 2 pts, and bladder ca (BC) 1 pt. Chemo agents included Paclitaxel, 5FU, cisplatinum, or Oxaliplatin and mitomycin for epithelial cancer and (Doxorubicin, Ifosamide, Phenyl Alanine Mustard (PAM) for remaining tumors. High dose IPP with PAM, Paclitaxel and Cisplatin was given in 6 pts, 3 with stem cell support. Results: Palliative IPP in advanced rectal cancer (AdRca) pts relieved narcotic resistant pain (2-4 mos) in 11/16 pts (69%). Preop IPP in 26 AdRca achieved path CR in 2 pts and partial regression in 11 pts; 7 had RO resection. Of 5 other pts, 3 refused resection, 2 were inoperable. Median survival was 17 mos in 12 resectable pts and 30 mos in 7 resected pts and 8 mos in 12 non resectable pts. It was 30 months in 8 pts with anorectal ca (1>90 mos), 20 mos in 4 endometrial/ovarian ca pts, (1 died NED >48 mos), 13 mos in 4 M pts and 5 (4-34) mos in 5 pelvic sarcoma pts. Overall 17 of 44 (39%) were resected and 24 were palliated with IPP. Conclusions: IPP has value in palliating or augmenting resectability and survival in advanced pelvic cancer patients not amenable to conventional chemoradiation and surgery.

Balloon Occlusion Technique During Y90 Radioembolization

2018 ◽  
Author(s):  
Armeen Mahvash ◽  
Ravi Murthy
Keyword(s):  
Conventional Technique ◽  
Balloon Occlusion ◽  
Collateral Vessel ◽  
Diagnostic Angiography ◽  
Y90 Radioembolization ◽  
Occlusion Technique ◽  
The Common ◽  
Variant Anatomy ◽  
Balloon Occlusion Technique

The conventional technique for 90Y microsphere treatment planning involves diagnostic angiography with prophylactic embolization of hepatoenteric collaterals to prevent non-target microsphere administration. In some instances, embolization is not technically feasible due to anatomy or the size of the collateral vessel. In lieu of prophylactic embolization, the balloon occlusion technique may be employed. The technique uses a compliant balloon to temporarily occlude the common hepatic artery to induce reversal of arterial flow in various hepatoenteric collaterals (gastroduodenal, right gastric, supraduodenal, etc.). This technique is generally employed in patients with Michaels type 1 anatomy; however, it can also be used in patients with variant anatomy.

Open distal anastomosis or aortic balloon occlusion technique during complete aortic arch replacement

1998 ◽  
Vol 46 (7) ◽  
pp. 610-615
Author(s):  
Mitsuaki Sadahiro ◽  
Masahiro Sakurai ◽  
Masaki Hata ◽  
Yoshihiro Sawamura ◽  
Izuru Yoshida ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Balloon Occlusion ◽  
Distal Anastomosis ◽  
Aortic Arch Replacement ◽  
Aortic Balloon Occlusion ◽  
Occlusion Technique ◽  
Balloon Occlusion Technique

scholarly journals Spontaneous Thrombosis of a High-Flow Carotid-Cavernous Fistula after Failed Transarterial Balloon Occlusion

2004 ◽  
Vol 10 (3) ◽  
pp. 253-256 ◽  
Author(s):  
A. Uchino ◽  
Y. Takase ◽  
T. Koizumi ◽  
S. Kudo
Keyword(s):  
Balloon Occlusion ◽  
High Flow ◽  
Carotid Cavernous Fistula ◽  
Spontaneous Thrombosis ◽  
Complete Occlusion ◽  
Cavernous Fistula ◽  
Occlusion Technique ◽  
One Year ◽  
Balloon Occlusion Technique

A 62-year-old man with a traumatic high-flow right carotid-cavernous fistula was treated by transarterial balloon occlusion technique. However, because of the relatively small size of the fistula, the balloon could not enter into the cavernous sinus via the fistula. During the procedure, the shunt flow decreased significantly, and we stopped the procedure. Follow-up angiography performed 14 days after the procedure showed complete occlusion of the fistula with a small residual pseudoaneurysm. One year later, the pseudoaneurysm had decreased in size. Repeated transient decrease and stagnancy of blood flow at the fistula during the balloon procedure may have played an important role in the thrombosis in this patient.

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