Implantation of an arterial port for hepatic intra-arterial chemotherapy
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How to implant an arterial port for hepatic intra-arterial chemotherapy

  • 00'00" - 02'04" : Case & equipment presentation
  • 02'04" - 02'24" : Local anesthesia
  • 02'24" - 02'51" : Skin incision
  • 02'51" - 04'08" : Hydrophilic guidewire and 5 french catheter positionning
  • 04'08" - 06'22" : Contrast injection and control
  • 06'22" - 07'40" : 2.7 F microcatheter and micro guide wire insertion to canulate the right hepatic artery
  • 07'40" - 11'21" : Contrast injection - positionnent of 4 micro coils Tornado for occlusion
  • 11'21" - 13'10" : Angiography analysis
  • 13'10" - 17'36" : Contrast injection and control
  • 17'36" - 19'33" : Explanations about occlusion
  • 19'33" - 20'47" : Micro coils for right gastric artery occlusion
  • 20'47" - 24'12" : Contrast injection, control and explanations
  • 24'12" - 28'27" : Occlusion of gastroduodenal artery
  • 28'27" - 30'43" : Preparation of the 5F indwelling catheter and micro catheter.
  • 30'43" - 34'05" : Introduction of micro catheter and indwelling catheter over it ; removing of guide wire
  • 34'05" - 35'33" : Retrieving the micro catheter through the side hole of indwelling catheter
  • 35'33" - 36'59" : Occlusion of gastroduodenal artery with several micro coils
  • 36'59" - 37'59" : Contrast injection and control
  • 37'59" - 39'00" : Introduction of indwelling catheter using a 0.35 guide wire
  • 39'00" - 39'36" : Presentation of ports kit
  • 39'36" - 44'57" : Arterial port positionning
  • 44'57" - 46'27" : Fluoroscopic control
  • 46'27" - 47'24" : Contrast injection through port
  • 47'24" - 47'41" : Injection of heparin through port
  • 47'41" - 48'41" : Sutures
  • 48'41" - 50'38" : Conclusion