Wednesday, January 27th:
-
,
Room 3 - Technical Forum
Case 54 – LEI 19:
Selective Internal Radiation Therapy (SIRT) for colorectal liver metastases
Center:
Leipzig, Dept of Radiology
Case 54 – LEI 19: male, 57 years
Operators:
Tim Ole Petersen,
Michael Moche,
T. Lincke
CLINICAL DATA
Liver metastases following rectal cancer (T3 N2b M1 G2 KRAS wild type)
Rectum resection 11 month ago, followed by nine cycles of FOLFIRI-Cetuximab
chemotherapy. After initial regressive disease now persisting metastases in the liver.
Hepatic function not impaired.
RISK FACTORS
Art. hypertension
Slight focal cholestasis from tumor mass in liver segment VII
PROCEDURAL STEPS 1. Right femoral approach
- 4F 10 cm sheath (TERUMO)
2. Catheterization of the hepatic artery
- 4F-SIM2 100 cm diagnostic catheter (CORDIS)
3. Placement of the microcatheter precisely in the same position 1 and 2 for the injection of the therapeutic agent
- Microcatheter System 2.7F 130 cm (TERUMO PROGREAT)
4. Selective application of the Yttrium-90 glass microspheres with a dedicated injection system (TheraSphere, BTG)
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