How to perform a percutaneous placement of hepatic intra arterial catheter and port

• 00:00 - 01:30 : Presentation of the case
• 01:30 - 02:35 : Preparation of table
• 02:35 - 03:45 : Material presentation
• 03:45 - 03:58 : Local anesthesia
• 03:58 - 04:35 : Arterial puncture
• 04:35 - 05:22 : 5F cobra catheter introduction
• 05:22 - 06:17 : Catheter in the celiac trunk and contrast injection / control
• 06:17 - 08:35 : Angiogram
• 06:10 - 09:05 : Insertion of the micro catheter inside the 5F cobra - contrast injection
• 09:05 - 10:33 : First tornado coil insertion
• 10:33 - 11:10 : Second tornado coil insertion
• 11:10 - 11:29 : Heading to the left gastric artery
• 11:29 - 12:30 : Angiogram analysis
• 12:30 - 14:04 : Repositioning  and angiogram
• 14:04 - 15:27 : Positioning of the catheter in the hepatic artery - angiogram - spasms
• 15:27 - 16:08 : Injection of  Risordan mixed with heparin
• 16:08 - 17:23 : Positioning of the catheter - spasms again
• 17:23 - 19:02 : Positionning deeper in the gastroduodenal artery
• 19:02 - 22:36 : 00.18 Stiff exchange guidewire positionning and indwelling catheter insertion
• 22:36 - 24:17 : Retrieving the catheter
• 24:17 - 25:29 : Escaping the catheter through the side holes in the gastroduodenal artery - contrast injection
• 25:29 - 28:36 : Occlusion of gastroduodenal artery with several tornado coils
• 28:36 - 29:52 : Retrieving micro catheter - angiogram
• 29:52 - 31:12 : Preparation of ports kit
• 31:12 - 31:47 : Local anesthesia
• 31:47 - 33:24 : Xylocain mixed with adrenalin injection - skin incision - enlarging pocket for port
• 33:24 - 34:41 : Tunnelisation
• 34:41 - 36:24 : Placing port
• 36:24 - 36:57 : Fluoroscopic control
• 36:57 - 37:22 : Placing port into the pocket
• 37:22 - 37:50 : Fluoroscopic control
• 37:50 - 38:39 : Fixing port
• 38:39 - 41:00 : Flushing the port / catheter with heparin - control
• 41:00 - 46:37 : Technical variation by Dr Deschamps
• 46:37 - 48:10 : Conclusion