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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2021; 5(02): 116-118
DOI: 10.1055/s-0041-1727584
Case Report

Retrograde Approach for Intra-arterial Chemotherapy Delivery in Retinoblastoma

Giancarlo Saal-Zapata
1   Interventional Neurosurgery Division, Clínica Angloamericana, San Isidro, Lima, Perú
,
Walter Durand
1   Interventional Neurosurgery Division, Clínica Angloamericana, San Isidro, Lima, Perú
,
Alfredo Ramos
1   Interventional Neurosurgery Division, Clínica Angloamericana, San Isidro, Lima, Perú
,
Raúl Cordero
2   Oncological Ophthalmology Division, Clínica Angloamericana, San Isidro, Lima, Perú
,
Rodolfo Rodríguez
1   Interventional Neurosurgery Division, Clínica Angloamericana, San Isidro, Lima, Perú
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Abstract

Intra-arterial chemotherapy (IAC) is currently, the first-line treatment for retinoblastomas with successful cure rates. In difficult access or unsuccessful catheterization of the ophthalmic artery (OA), the middle meningeal artery is a second alternative followed by the Japanese technique using balloon. Nevertheless, when a well-developed posterior communicating artery is present, a retrograde approach to the OA through this vessel can be performed to deliver the chemotherapeutic drugs.

We present a case of an unsuccessful catheterization of the OA through the internal carotid artery due to a challenging configuration of the OA/carotid siphon angle and describe an alternative form of navigation and catheterization through the posterior circulation.

To our knowledge, this is the third report of a successful retrograde catheterization of the OA for IAC and constitutes an alternative route to deliver chemotherapy.

Keywords

retinoblastoma - intra-arterial chemotherapy - ophthalmic artery


Publication History

Article published online:
01 June 2021

© 2021. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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