Implantation of Port-catheter System for Hepatic Arterial Infusion Chemotherapy with Catheter Tip Fixation in a Patient with Celiac Arterial Obstruction

Arteriogram via the hepatic arterial infusion port in a 66-year-old man with multifocal hepatocellular carcinoma demonstrates patency of the hepatic artery and good hepatic perfusion. The tip of the indwelling catheter was positioned in the common hepatic artery and a side hole opened into the proper hepatic artery (arrow). Note that the tip of the catheter in the common hepatic artery is fixed with two microcoils (arrowhead) and that the right gastric artery that arose from the common hepatic artery was not demonstrated. There are no splenic and left gastric artery distributions, which suggests that the distal edge in the catheter lumen is sufficiently closed by thrombus.