caa a22 4500 60549391X CHVBK 20210128100523.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s00261-014-0239-1 doi (NATIONALLICENCE)springer-10.1007/s00261-014-0239-1 Prospective randomized trial comparing pushable coil and detachable coil during percutaneous implantation of port-catheter system for hepatic artery infusion chemotherapy [Elektronische Daten] [Sung Park, Shin Lee, Myungsu Lee, Mu Lee, Gyoung Kim, Man Kim, Jong Won, Do Lee] The purpose of this study was to prospectively compare the efficacy and controllability of pushable coil and detachable coil during embolization of gastroduodenal artery (GDA) while performing percutaneous implantation of port-catheter system for hepatic artery infusion chemotherapy. Fifty patients (M:F=42:8, age: 31-81years) with advanced hepatocellular carcinoma undergoing port-catheter system implantation were randomized into pushable coil group and detachable coil group. During catheter fixation, GDA was embolized as close to the origin as possible. Success rate, number of coils used, number of coils removed due to malposition after deployment, time to occlusion, uncoiled GDA length, pushability, and complications were compared. Pushability was graded as no tension, slight tension, and difficult to advance. Embolization was successful in 49 patients. One failure resulted from repeated regurgitation of pushable coil into hepatic artery. Number of coils used and removed coils, time to occlusion, and uncoiled GDA length were 1-3 (mean 2.32), 5 coils in 3 patients, 4-20min (mean 8.00), and 0-15.0mm (mean 3.36) in pushable coil group, and 1-5 (mean 2.12), 2 coils in 2 patients, 2-15min (mean 7.40), and 0-10.2mm (mean 2.92) in detachable coil group, respectively, without significant difference. Pushability was no tension (n=24) and slight tension (n=1) in pushable coil group and no tension (n=16), slight tension (n=7), and difficult to advance (n=2) in detachable coil group. One hepatic artery dissection occurred in the failed case during coil removal. Pushable coils and detachable coils had similar efficacy and controllability during GDA embolization, although there was a trend favoring detachable coil. Springer Science+Business Media New York, 2014 Interventional nationallicence Embolization nationallicence Detachable fibered coil nationallicence Gastroduodenal artery nationallicence Park Sung Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, 120-752, Seoul, Republic of Korea aut Lee Shin Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, 120-752, Seoul, Republic of Korea aut Lee Myungsu Department of Radiology, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, 110-744, Seoul, Republic of Korea aut Lee Mu Department of Radiology, Jeju National University Hospital, Aran 13gil 15 (Ara-1 Dong), 690-767, Jeju, Republic of Korea aut Kim Gyoung Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, 120-752, Seoul, Republic of Korea aut Kim Man Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, 120-752, Seoul, Republic of Korea aut Won Jong Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, 120-752, Seoul, Republic of Korea aut Lee Do Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, 120-752, Seoul, Republic of Korea aut Abdominal Imaging Springer US; http://www.springer-ny.com 40/3(2015-03-01), 595-600 0942-8925 40:3<595 2015 40 261 https://doi.org/10.1007/s00261-014-0239-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00261-014-0239-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Park Sung Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, 120-752, Seoul, Republic of Korea aut NATIONALLICENCE 700 1- Lee Shin Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, 120-752, Seoul, Republic of Korea aut NATIONALLICENCE 700 1- Lee Myungsu Department of Radiology, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, 110-744, Seoul, Republic of Korea aut NATIONALLICENCE 700 1- Lee Mu Department of Radiology, Jeju National University Hospital, Aran 13gil 15 (Ara-1 Dong), 690-767, Jeju, Republic of Korea aut NATIONALLICENCE 700 1- Kim Gyoung Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, 120-752, Seoul, Republic of Korea aut NATIONALLICENCE 700 1- Kim Man Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, 120-752, Seoul, Republic of Korea aut NATIONALLICENCE 700 1- Won Jong Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, 120-752, Seoul, Republic of Korea aut NATIONALLICENCE 700 1- Lee Do Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, 120-752, Seoul, Republic of Korea aut NATIONALLICENCE 773 0- Abdominal Imaging Springer US; http://www.springer-ny.com 40/3(2015-03-01), 595-600 0942-8925 40:3<595 2015 40 261