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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2021; 5(02): 099-105
DOI: 10.1055/s-0041-1729491
Review Article

Flow-Directed Catheters in Hepatic Embolization Therapy—A Review with Clinical Cases

Shams Iqbal
1   Department of Radiology, Lahey Hospital & Medical Center, Burlington, Massachusetts, United States
2   Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts, United States
,
Lawrence Jordan Breyfogle
3   Department of Radiology, Tufts University School of Medicine, Boston, Massachusetts, United States
,
Sebastian Flacke
1   Department of Radiology, Lahey Hospital & Medical Center, Burlington, Massachusetts, United States
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Abstract

Transarterial embolization with chemotherapy and radiation is well-documented forms of treatment for liver cancers but reflux of embolic particles to nontarget tissues can result in unintended consequences such as gastrointestinal ulceration. Traditionally, operators have used coil embolization of hepatoenteric collaterals to prevent reflux. Antireflux microcatheters that contain expandable baskets (Surefire) or inflatable balloons have recently been developed as tools to avoid these side effects. We describe cases where antireflux catheters were used instead of coil embolization. Using antireflux catheters, we eliminated particle reflux into nontarget vessels. We also review the literature on antireflux catheters involved in preventing reflux during chemo- and radioembolization.

Keywords

hepatic embolization - flow-directed catheters - antireflux catheters


Publication History

Article published online:
18 May 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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