Retrograde Approach for Intra-arterial Chemotherapy Delivery in Retinoblastoma
Intra-arterial chemotherapy (IAC) is currently, the first-line treatment for retinoblastomas with successful cure rates. In difficult access or unsuccessful catheterization of the ophthalmic artery (OA), the middle meningeal artery is a second alternative followed by the Japanese technique using bal...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2021-06-01
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| Series: | Journal of Clinical Interventional Radiology ISVIR |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1727584 |
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| author | Giancarlo Saal-Zapata Walter Durand Alfredo Ramos Raúl Cordero Rodolfo Rodríguez |
| author_facet | Giancarlo Saal-Zapata Walter Durand Alfredo Ramos Raúl Cordero Rodolfo Rodríguez |
| author_sort | Giancarlo Saal-Zapata |
| collection | DOAJ |
| description | Intra-arterial chemotherapy (IAC) is currently, the first-line treatment for retinoblastomas with successful cure rates. In difficult access or unsuccessful catheterization of the ophthalmic artery (OA), the middle meningeal artery is a second alternative followed by the Japanese technique using balloon. Nevertheless, when a well-developed posterior communicating artery is present, a retrograde approach to the OA through this vessel can be performed to deliver the chemotherapeutic drugs. We present a case of an unsuccessful catheterization of the OA through the internal carotid artery due to a challenging configuration of the OA/carotid siphon angle and describe an alternative form of navigation and catheterization through the posterior circulation. To our knowledge, this is the third report of a successful retrograde catheterization of the OA for IAC and constitutes an alternative route to deliver chemotherapy. |
| format | Article |
| id | doaj-art-c52c856af87944c4ab27f81dab5dd588 |
| institution | DOAJ |
| issn | 2456-4869 |
| language | English |
| publishDate | 2021-06-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Clinical Interventional Radiology ISVIR |
| spelling | doaj-art-c52c856af87944c4ab27f81dab5dd5882025-08-20T03:22:42ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Clinical Interventional Radiology ISVIR2456-48692021-06-0150211611810.1055/s-0041-1727584Retrograde Approach for Intra-arterial Chemotherapy Delivery in RetinoblastomaGiancarlo Saal-Zapata0Walter Durand1Alfredo Ramos2Raúl Cordero3Rodolfo Rodríguez4Interventional Neurosurgery Division, Clínica Angloamericana, San Isidro, Lima, PerúInterventional Neurosurgery Division, Clínica Angloamericana, San Isidro, Lima, PerúInterventional Neurosurgery Division, Clínica Angloamericana, San Isidro, Lima, PerúOncological Ophthalmology Division, Clínica Angloamericana, San Isidro, Lima, PerúInterventional Neurosurgery Division, Clínica Angloamericana, San Isidro, Lima, PerúIntra-arterial chemotherapy (IAC) is currently, the first-line treatment for retinoblastomas with successful cure rates. In difficult access or unsuccessful catheterization of the ophthalmic artery (OA), the middle meningeal artery is a second alternative followed by the Japanese technique using balloon. Nevertheless, when a well-developed posterior communicating artery is present, a retrograde approach to the OA through this vessel can be performed to deliver the chemotherapeutic drugs. We present a case of an unsuccessful catheterization of the OA through the internal carotid artery due to a challenging configuration of the OA/carotid siphon angle and describe an alternative form of navigation and catheterization through the posterior circulation. To our knowledge, this is the third report of a successful retrograde catheterization of the OA for IAC and constitutes an alternative route to deliver chemotherapy.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1727584retinoblastomaintra-arterial chemotherapyophthalmic artery |
| spellingShingle | Giancarlo Saal-Zapata Walter Durand Alfredo Ramos Raúl Cordero Rodolfo Rodríguez Retrograde Approach for Intra-arterial Chemotherapy Delivery in Retinoblastoma Journal of Clinical Interventional Radiology ISVIR retinoblastoma intra-arterial chemotherapy ophthalmic artery |
| title | Retrograde Approach for Intra-arterial Chemotherapy Delivery in Retinoblastoma |
| title_full | Retrograde Approach for Intra-arterial Chemotherapy Delivery in Retinoblastoma |
| title_fullStr | Retrograde Approach for Intra-arterial Chemotherapy Delivery in Retinoblastoma |
| title_full_unstemmed | Retrograde Approach for Intra-arterial Chemotherapy Delivery in Retinoblastoma |
| title_short | Retrograde Approach for Intra-arterial Chemotherapy Delivery in Retinoblastoma |
| title_sort | retrograde approach for intra arterial chemotherapy delivery in retinoblastoma |
| topic | retinoblastoma intra-arterial chemotherapy ophthalmic artery |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1727584 |
| work_keys_str_mv | AT giancarlosaalzapata retrogradeapproachforintraarterialchemotherapydeliveryinretinoblastoma AT walterdurand retrogradeapproachforintraarterialchemotherapydeliveryinretinoblastoma AT alfredoramos retrogradeapproachforintraarterialchemotherapydeliveryinretinoblastoma AT raulcordero retrogradeapproachforintraarterialchemotherapydeliveryinretinoblastoma AT rodolforodriguez retrogradeapproachforintraarterialchemotherapydeliveryinretinoblastoma |