Exploring a Novel Technique to Tackle the Shortage of Devices for Hepatic Arterial Infusion Chemotherapy: Early Results of an Alternate Approach for Percutaneous Arterial Port Catheter Placement

Dedicated catheters for hepatic arterial infusion chemotherapy were removed from the market. The purpose of this study was to assess results a novel approach overcome shortage dedicated in treatment colorectal cancer liver metastases. We retrospectively included patients who underwent percutaneous placement intra-arterial port catheter single tertiary center February 2021 June 2022. examined patient baseline characteristics, technical features modified procedures, success rates, complications and oncological outcomes. Fourteen (median age: 60 years; q1 = 54; q3 70; range: 53–81 years) 15 procedures. main modification our technique consisted use an indwelling 5-Fr Vertebral catheter, on tip which we created two-sided additional lateral hole. connected pediatric port. primary rate 100%, secondary 93.3%. There two late major complications, graded IIIa according Clavien–Dindo classification. median progression free survival 6.1 months (q1 2.5; 7.2; 1.3–11.6). Our experience suggests that derived utilization devices used routinely interventional radiology provides effective solution can compensate devices.