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Tumor Embolization
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Technical and anatomical factors affecting intra-arterial chemotherapy fluoroscopy time and radiation dose for intraocular retinoblastoma
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- Published on: 15 November 2019
- Published on: 15 November 2019Contraindicated micro catheters
The authors describe two endovascular techniques for delivering IA chemotherapy to retinoblastoma patients. Technique A where a 1.2 Fr or 1.5 Fr micro catheter with continuous verapamil flush is advanced without a guide and technique B where a1.5 Fr or 1.7 Fr micro catheter is advanced within a 4 Fr catheter, through a 4 Fr sheath. We usually use a no sheath technique, using a 4Fr diagnostic catheter as a guide catheter for neonatal and pediatric cases. Most importantly, we do not use Echelon or Marathon micro catheters in neonatal and pediatric patients because their use is contraindicated per "instructions for use".
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