Three patients with metastatic malignancy received streptozocin by hepatic artery infusion through a percutaneous transfemoral catheter. Two patients developed major arterial thrombosis, from which one died. The other suffered renal damage following displacement of the catheter tip. Possible avoidable risk factors are identified.
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References
1.
AnsfieldF. J.RamirezG.SkibbaJ. L.BryanG. T.DavisH. L.WirtanenG. W. (1971). Intrahepatic arterial infusion with 5-fluorouracil. Cancer, 28, 1147.
2.
ClouseM. E.AhmedR.RyanR. B.OberfieldR. A.McCaffreyJ. A. (1977). Complications of long term transbrachial hepatic arterial infusion chemotherapy. American Journal of Roentgenology, 129, 799.
3.
DavisH. L.RamirezG.AnsfieldF. J. (1974). Adenocarcinomas of stomach, pancreas, liver, and biliary tracts: Survival of 328 patients treated with fluoropyrimidine therapy. Cancer, 33, 193.
4.
GoldmanM. L.BilbaoM. K.RöschJ.DotterC. T. (1975). Complications of indwelling chemotherapy catheters. Cancer, 36, 1983.
5.
HayesJ. R.O'ConnellN.O'NeillT.FennellyJ. J.WeirD. G. (1976). Successful treatment of a malignant gastrinoma with streptozotocin. Gut, 17, 285.
6.
KahnC. R.LevyA. G.GardnerJ. D.MillerJ. V.GordonP.ScheinP. S. (1975). Pancreatic cholera: Beneficial effects of treatment with streptozotocin. New England Journal of Medicine, 292, 941.
7.
MasseyW. H.FletcherW. S.JudkinsM. P.DennisD. L. (1971). Hepatic artery infusion for metastatic malignancy using percutaneously placed catheters. American Journal of Surgery, 121, 160.
8.
MichelsN. A. (1951). The hepatic, cystic and retroduodenal arteries and their relation to the biliary ducts. Annals of Surgery, 133, 503.
9.
MoertelC. G. (1976). Chemotherapy of gastrointestinal cancer. Clinics in Gastroenterology, 5, 777.
10.
StanleyN. N.MarksV.KreelL.McIntyreN. (1970). Streptozotocin treatment of malignant islet tumour. British Medical Journal3, 562.
11.
SullivanR. D.MillerE.SikesM. P. (1959). Antimetabolite — Metabolite combination cancer chemotherapy: Effects of intra-arterial methotrexate — Intramuscular citrovorum factor therapy in human cancer. Cancer, 12, 1248.
12.
WirtanenG. W.BernhardtL. C.MackmanS.RamirezG.CurreriA. R.AnsfieldF. J. (1968). Hepatic artery and coeliac axis infusion for the treatment of upper abdominal malignant lesions. Annals of Surgery, 168, 137.