I MEDICAL RADIOLOGY Diagnostic Imaging Editors: A. L. Baert, Leuven K. Sartor, Heidelberg
II Contents Springer Berlin Heidelberg New York Hong Kong London Milan Paris Tokyo
III A. Adam R. F. Dondelinger P. R. Mueller (Eds.) Interventional Radiology in Cancer With Contributions by A. Adam B. Bounds W. R. Brugge C. Colin M. Decurtins R. F. Dondelinger A. Gangi D. A. Gervais S. Guth M. G. Harisinghani R. Jost M. J. Kellett E. Lifrange M. A. Mauro R. Morgan P. R. Mueller D. Sahani E. Schoch G. Trotteur M. C. Uthappa H.-J. Wagner M. J. Wallace S. Wallace L. Wong C. L. Zollikofer Foreword by A. L. Baert With 162 Figures in 444 Separate Illustrations, 9 in Color and 10 Tables 123
IV Contents Andreas Adam, MB, BS, FRCP, FRCR, FRCS Professor of Interventional Radiology University of London Guy s and St. Thomas Hospital School of Medicine St. Thomas Hospital London, SE1 7EH UK Robert F. Dondelinger, MD Professor and Chairman Department of Medical Imaging University Hospital Sart Tilman Domaine du Sart Tilman B35 4000 Liège Belgium Peter R. Mueller, MD Professor of Radiology Harvard Medical School, Division Head, Department of Abdominal Imaging and Intervention Massachusetts General Hospital, White 270 55 Fruit Street Boston, MA 02114 USA Medical Radiology Diagnostic Imaging and Radiation Oncology Series Editors: A. L. Baert L. W. Brady H.-P. Heilmann M. Molls K. Sartor Continuation of Handbuch der medizinischen Radiologie Encyclopedia of Medical Radiology ISBN 978-3-642-62235-9 DOI 10.1007/978-3-642-18668-4 ISBN 978-3-642-18668-4 (ebook) Library of Congress Cataloging-in-Publication Data Interventional radiology in cancer / A. Adam, R. F. Dondelinger, P. R. Mueller, eds. ; with contributions by A. Adam... [et al.] ; foreword by A. L. Baert. p. ; cm. -- (Medical radiology) Includes bibliographical references and index. ISBN 978-3-642-62235-9 1. Interventional radiology. 2. Cancer--Treatment. I. Adam, Andy. II. Dondelinger, R. F. III. Mueller, Peter R. IV. Series. [DNLM: 1. Neoplasms--radiography. 2. Neoplasms--therapy. 3. Radiography, Interventional. QZ 269 I6286 2002] RC271.R3 I585 2002 616.99 40642--dc21 2002021061 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitations, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer-Verlag. Violations are liable for prosecution under the German Copyright Law. http//www.springeronline.com Springer-Verlag Berlin Heidelberg 2004 Originally published by Springer-Verlag Berlin Heidelberg New York in 2004 Softcover reprint of the hardcover 1st edition 2004 The use of general descriptive names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every case the user must check such information by consulting the relevant literature. Cover-Design and Typesetting: Verlagsservice Teichmann, 69256 Mauer 21/3150xq 5 4 3 2 1 0 Printed on acid-free paper
V Foreword This book emphasizes the unique role of interventional radiology in the management of patients with malignant disease. Interventional radiological techniques aim primarily at the palliation of painful or disabling conditions. They are an essential component of modern palliative medicine and cancer treatment. This book is a timely addition to the series Medical Radiology Diagnostic Imaging. I am very much indebted to the editors of this volume, A. Adam, R. F. Dondelinger and P. R. Mueller, three internationally leading personalities in the field of interventional radiological procedures. I would like to congratulate them and the contributing authors, all selected for their exceptional expertise, on the outstanding quality of the different chapters that cover the whole field of interventional radiology in cancer. This state-of-the-art volume will be of immense help to all radiologists in training who want to improve their skills in non-invasive cancer treatment, as well as to certified interventional radiologists who will find in this book the latest advances and trends in the field. It will, moreover, also be of great interest for oncologists and surgeons responsible for the clinical management of cancer patients. I am confident that this excellent book will meet with the same success as previous volumes in the series Medical Radiology Diagnostic Imaging. Leuven Albert L. Baert
VII Preface Interventional radiology has revolutionised the treatment of cancer. Its greatest contribution has been the palliation of distressing symptoms produced by malignant disease. For example, patients with gastric-outlet obstruction or occlusion of the superior vena cava can have their lives transformed overnight by the insertion of a metallic stent. The role of interventional radiology in this field has become so extensive that it deserves to be addressed as a subject in itself. This volume aims to describe the main procedures which interventional radiologists use to treat patients with malignant disease. The chapters generally concentrate on the role of interventional techniques in particular organ systems. All the authors have extensive personal experience of the techniques they describe and have written extensively on these subjects. We hope that you will enjoy reading this book, which complements the other volumes in the excellent series Medical Radiology. London Liège Boston A. Adam R. F. Dondelinger P. R. Mueller
IX Contents 1 Percutaneous and Endoscopic Management of Biliary Obstruction D. Sahani, B. Bounds, W. Brugge, P. R. Mueller........................... 1 2 Interventional Radiology in Esophageal Cancer R. Morgan and A. Adam................................................... 21 3 Stents in Gastrointestinal Cancer C. L. Zollikofer, R. Jost, E. Schoch, M. Decurtins.......................... 49 4 Interventional Radiology in Breast Cancer E. Lifrange, R. F. Dondelinger, C. Colin................................... 77 5 Metal Stents in Malignant Obstruction of Caval Veins R. F. Dondelinger and G. Trotteur........................................ 115 6 Central Venous Access for Chemotherapy M. A. Mauro.............................................................. 133 7 Interventional Radiology in Malignant Urinary Tract Obstruction M. C. Uthappa and M. J. Kellett........................................... 155 8 Percutaneous Ablation of Malignant Tumours M. G. Harisinghani, D. A. Gervais, P. R. Mueller............................ 167 9 Chemoembolization, Infusion, and Embolization M. J. Wallace and S. Wallace............................................. 179 10 Percutaneous Cementoplasty in Cancer Patients Afshin Gangi, Lisa Wong, and Stephane Guth............................. 225 11 Percutaneous Pain Relief Techniques in Cancer Patients A. Gangi, S. Guth, and L. L. S. Wong........................................ 233 12 Stents in Tracheobronchial Malignancy H.-J. Wagner............................................................. 247 Subject Index................................................................ 271 List of Contributors........................................................... 281