[Reservoir system implantation technique via the inferior epigastric artery]

A reverse application technique of the radiofocus guidewire, as a guide for arterial cut down approach, was employed for the implantation of the reservoir system via inferior epigastric artery. Twenty five of the 26 patients succeeded in the implantation of reservoir system with this method, including two patients who were implanted two systems simultaneously. The advantages of this technique are as follows. Under the fluoroscopic examination, it is easy and safe to insert the catheter. There is no observation of the catheter dislocation, because the catheter does not get through the inguinal ligament. Two reservoir systems can be implanted simultaneously. This technique can be carried out immediately after the conventional angiography. With this technique, a high selective insertion rate (96%) of the catheter was achieved without no complication. This technique is feasible in implanting the reservoir system, but it is advisable for further studies to be made in order to clarify indications and further complications.