Prospective randomized trial comparing pushable coil and detachable coil during percutaneous implantation of port-catheter system for hepatic artery infusion chemotherapy

Sung I.I. Park, Shin Jae Lee, Myungsu Lee, Mu Sook Lee, Gyoung Min Kim, ManDeuk Kim, Jong Yun Won, Do Yun Lee

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

The purpose of this study was to prospectively compare the efficacy and controllability of pushable coil and detachable coil during embolization of gastroduodenal artery (GDA) while performing percutaneous implantation of port-catheter system for hepatic artery infusion chemotherapy. Fifty patients (M:F = 42:8, age: 31–81 years) with advanced hepatocellular carcinoma undergoing port-catheter system implantation were randomized into pushable coil group and detachable coil group. During catheter fixation, GDA was embolized as close to the origin as possible. Success rate, number of coils used, number of coils removed due to malposition after deployment, time to occlusion, uncoiled GDA length, pushability, and complications were compared. Pushability was graded as no tension, slight tension, and difficult to advance. Embolization was successful in 49 patients. One failure resulted from repeated regurgitation of pushable coil into hepatic artery. Number of coils used and removed coils, time to occlusion, and uncoiled GDA length were 1–3 (mean 2.32), 5 coils in 3 patients, 4–20 min (mean 8.00), and 0–15.0 mm (mean 3.36) in pushable coil group, and 1–5 (mean 2.12), 2 coils in 2 patients, 2–15 min (mean 7.40), and 0–10.2 mm (mean 2.92) in detachable coil group, respectively, without significant difference. Pushability was no tension (n = 24) and slight tension (n = 1) in pushable coil group and no tension (n = 16), slight tension (n = 7), and difficult to advance (n = 2) in detachable coil group. One hepatic artery dissection occurred in the failed case during coil removal. Pushable coils and detachable coils had similar efficacy and controllability during GDA embolization, although there was a trend favoring detachable coil.

Original languageEnglish
Pages (from-to)595-600
Number of pages6
JournalAbdominal Imaging
Volume40
Issue number3
DOIs
Publication statusPublished - 2015 Jan 1

Fingerprint

Vascular Access Devices
Hepatic Artery
Arteries
Drug Therapy
Dissection
Hepatocellular Carcinoma
Catheters

All Science Journal Classification (ASJC) codes

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging
  • Gastroenterology
  • Urology

Cite this

Park, Sung I.I. ; Lee, Shin Jae ; Lee, Myungsu ; Lee, Mu Sook ; Kim, Gyoung Min ; Kim, ManDeuk ; Won, Jong Yun ; Lee, Do Yun. / Prospective randomized trial comparing pushable coil and detachable coil during percutaneous implantation of port-catheter system for hepatic artery infusion chemotherapy. In: Abdominal Imaging. 2015 ; Vol. 40, No. 3. pp. 595-600.
@article{24764485293b43eebad16851b46b003f,
title = "Prospective randomized trial comparing pushable coil and detachable coil during percutaneous implantation of port-catheter system for hepatic artery infusion chemotherapy",
abstract = "The purpose of this study was to prospectively compare the efficacy and controllability of pushable coil and detachable coil during embolization of gastroduodenal artery (GDA) while performing percutaneous implantation of port-catheter system for hepatic artery infusion chemotherapy. Fifty patients (M:F = 42:8, age: 31–81 years) with advanced hepatocellular carcinoma undergoing port-catheter system implantation were randomized into pushable coil group and detachable coil group. During catheter fixation, GDA was embolized as close to the origin as possible. Success rate, number of coils used, number of coils removed due to malposition after deployment, time to occlusion, uncoiled GDA length, pushability, and complications were compared. Pushability was graded as no tension, slight tension, and difficult to advance. Embolization was successful in 49 patients. One failure resulted from repeated regurgitation of pushable coil into hepatic artery. Number of coils used and removed coils, time to occlusion, and uncoiled GDA length were 1–3 (mean 2.32), 5 coils in 3 patients, 4–20 min (mean 8.00), and 0–15.0 mm (mean 3.36) in pushable coil group, and 1–5 (mean 2.12), 2 coils in 2 patients, 2–15 min (mean 7.40), and 0–10.2 mm (mean 2.92) in detachable coil group, respectively, without significant difference. Pushability was no tension (n = 24) and slight tension (n = 1) in pushable coil group and no tension (n = 16), slight tension (n = 7), and difficult to advance (n = 2) in detachable coil group. One hepatic artery dissection occurred in the failed case during coil removal. Pushable coils and detachable coils had similar efficacy and controllability during GDA embolization, although there was a trend favoring detachable coil.",
author = "Park, {Sung I.I.} and Lee, {Shin Jae} and Myungsu Lee and Lee, {Mu Sook} and Kim, {Gyoung Min} and ManDeuk Kim and Won, {Jong Yun} and Lee, {Do Yun}",
year = "2015",
month = "1",
day = "1",
doi = "10.1007/s00261-014-0239-1",
language = "English",
volume = "40",
pages = "595--600",
journal = "Abdominal Radiology",
issn = "2366-004X",
publisher = "Springer New York",
number = "3",

}

Prospective randomized trial comparing pushable coil and detachable coil during percutaneous implantation of port-catheter system for hepatic artery infusion chemotherapy. / Park, Sung I.I.; Lee, Shin Jae; Lee, Myungsu; Lee, Mu Sook; Kim, Gyoung Min; Kim, ManDeuk; Won, Jong Yun; Lee, Do Yun.

In: Abdominal Imaging, Vol. 40, No. 3, 01.01.2015, p. 595-600.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Prospective randomized trial comparing pushable coil and detachable coil during percutaneous implantation of port-catheter system for hepatic artery infusion chemotherapy

AU - Park, Sung I.I.

AU - Lee, Shin Jae

AU - Lee, Myungsu

AU - Lee, Mu Sook

AU - Kim, Gyoung Min

AU - Kim, ManDeuk

AU - Won, Jong Yun

AU - Lee, Do Yun

PY - 2015/1/1

Y1 - 2015/1/1

N2 - The purpose of this study was to prospectively compare the efficacy and controllability of pushable coil and detachable coil during embolization of gastroduodenal artery (GDA) while performing percutaneous implantation of port-catheter system for hepatic artery infusion chemotherapy. Fifty patients (M:F = 42:8, age: 31–81 years) with advanced hepatocellular carcinoma undergoing port-catheter system implantation were randomized into pushable coil group and detachable coil group. During catheter fixation, GDA was embolized as close to the origin as possible. Success rate, number of coils used, number of coils removed due to malposition after deployment, time to occlusion, uncoiled GDA length, pushability, and complications were compared. Pushability was graded as no tension, slight tension, and difficult to advance. Embolization was successful in 49 patients. One failure resulted from repeated regurgitation of pushable coil into hepatic artery. Number of coils used and removed coils, time to occlusion, and uncoiled GDA length were 1–3 (mean 2.32), 5 coils in 3 patients, 4–20 min (mean 8.00), and 0–15.0 mm (mean 3.36) in pushable coil group, and 1–5 (mean 2.12), 2 coils in 2 patients, 2–15 min (mean 7.40), and 0–10.2 mm (mean 2.92) in detachable coil group, respectively, without significant difference. Pushability was no tension (n = 24) and slight tension (n = 1) in pushable coil group and no tension (n = 16), slight tension (n = 7), and difficult to advance (n = 2) in detachable coil group. One hepatic artery dissection occurred in the failed case during coil removal. Pushable coils and detachable coils had similar efficacy and controllability during GDA embolization, although there was a trend favoring detachable coil.

AB - The purpose of this study was to prospectively compare the efficacy and controllability of pushable coil and detachable coil during embolization of gastroduodenal artery (GDA) while performing percutaneous implantation of port-catheter system for hepatic artery infusion chemotherapy. Fifty patients (M:F = 42:8, age: 31–81 years) with advanced hepatocellular carcinoma undergoing port-catheter system implantation were randomized into pushable coil group and detachable coil group. During catheter fixation, GDA was embolized as close to the origin as possible. Success rate, number of coils used, number of coils removed due to malposition after deployment, time to occlusion, uncoiled GDA length, pushability, and complications were compared. Pushability was graded as no tension, slight tension, and difficult to advance. Embolization was successful in 49 patients. One failure resulted from repeated regurgitation of pushable coil into hepatic artery. Number of coils used and removed coils, time to occlusion, and uncoiled GDA length were 1–3 (mean 2.32), 5 coils in 3 patients, 4–20 min (mean 8.00), and 0–15.0 mm (mean 3.36) in pushable coil group, and 1–5 (mean 2.12), 2 coils in 2 patients, 2–15 min (mean 7.40), and 0–10.2 mm (mean 2.92) in detachable coil group, respectively, without significant difference. Pushability was no tension (n = 24) and slight tension (n = 1) in pushable coil group and no tension (n = 16), slight tension (n = 7), and difficult to advance (n = 2) in detachable coil group. One hepatic artery dissection occurred in the failed case during coil removal. Pushable coils and detachable coils had similar efficacy and controllability during GDA embolization, although there was a trend favoring detachable coil.

UR - http://www.scopus.com/inward/record.url?scp=84922527007&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84922527007&partnerID=8YFLogxK

U2 - 10.1007/s00261-014-0239-1

DO - 10.1007/s00261-014-0239-1

M3 - Article

VL - 40

SP - 595

EP - 600

JO - Abdominal Radiology

JF - Abdominal Radiology

SN - 2366-004X

IS - 3

ER -