hepatic artery catheter
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2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 15096-15096 ◽  
Author(s):  
J. King ◽  
R. Quinn ◽  
D. Glenn ◽  
W. Liauw ◽  
J. Janssen ◽  
...  

15096 Background: Few effective treatment options exist for inoperable NETLM. A prospective single-unit study assessed safety and efficacy of radioactive yttrium90 resin (SIR) in 34 patients with unresectable (NETLM). Method: Microspheres were administered via temporary percutaneous hepatic artery catheter with concomitant 7day 5-flurouracil infusion. Patients were monitored prospectively and treatment response measured by CT imaging and chromogranin A (CgA). Results: 34 patients (22 male), mean age 61 years (range 32–79) were treated with SIRT from December 2003 to December 2005. Mean follow-up 28.9 months, (95% CI 23.4 to 32.3). Complications were: post-embolitic pain and lethargy 1 week-1 month; 3 radiation gastritis, 2 of whom developed a duodenal ulcer. RECIST response on CT scan of 34 patients at 1 month: PR 9 (26%); SD 22 (65%); PD 3 (9%); 32 at 6 months, PR 7 (22%); SD 19 (59%); PD 6 (19%); 29 at 12 months CR 2 (7%); PR 3 (10%); SD 16 (55%); PD 8 (28%); 16 at 18 months, CR 4(25%); PR 1 (6%); SD 8 (50%); PD =3 (19%); 8 at 24 months, CR 4 (50%);SD 2 (25%),PD 2 (25%); 6 at 30 months, CR 2 (33%); SD 2 (33%); PD 2 (33%). CgA U/L fall from entry was: 19 (26%) at one month; 15 (43%) at 6 months; 15 (52%) at 9 months; 11 (57%) at 12 months; 8 (38%) at 24 months and 4 (80%) at 30 months. At 36 months from entry 11 (32%) have died; 8 (24%) have PD; 9 (26%) have SD and 6 (18%), (15 to 30 months) have CR on CT scan. Conclusion: SIRT is a promising treatment option for patients with in-operable NETLM. No significant financial relationships to disclose.


2005 ◽  
Vol 49 (5) ◽  
pp. 396-399 ◽  
Author(s):  
S Gananadha ◽  
TDB Yan ◽  
J Zhao ◽  
P Clingan ◽  
D Glenn ◽  
...  

2003 ◽  
Vol 36 (8) ◽  
pp. 1183-1188
Author(s):  
Hidekazu Yamamoto ◽  
Satoshi Nara ◽  
Yoshito Tanaka ◽  
Kouya Hida ◽  
Eiji Yamamoto ◽  
...  

Endoscopy ◽  
1998 ◽  
Vol 30 (04) ◽  
pp. S 51-S 51 ◽  
Author(s):  
D. S. Perera ◽  
D. L. Morris

1990 ◽  
Vol 26 (10) ◽  
pp. 1106-1107 ◽  
Author(s):  
Nobuyuki Matsuhashi ◽  
Takashi Moriyama ◽  
Ikuo Nakamura ◽  
Takashi Ishikawa ◽  
Shin Ohnishi ◽  
...  

1984 ◽  
Vol 9 (6) ◽  
pp. 364-365
Author(s):  
MICHAEL C. GAROVICH ◽  
NAT E. WATSON

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