A combination therapy of continuous superselective intraarterial carboplatin infusion and radiation therapy for locally advanced head and neck carcinoma

Surgical method for catheter placement via the occipital artery by an approach from the posterior of the mastoid process

“…Continuous intra-arterial chemotherapy has been performed using a vascular catheter inserted into the external carotid artery via the superficial temporal artery. Recently, superselective continuous intra-arterial chemotherapy via a catheter inserted into the region peripheral to the target artery has been performed, and has demonstrated sufficient anticancer effects, especially in combination with radiotherapy 1,2,8,9 . This therapy has played an important role comparable to that of surgical treatment for head and neck cancer.…”

“…Selective placement for intra-arterial infusion: the catheter was placed below the bifurcation of the target artery, and the position was checked by the injection of contrast dye, iopamidol and indigocarmine, to stain the infused area. Superselective placement for intra-arterial infusion: according to the method described by FUWA et al 1 and TOH-NAI et al 9 , a polyurethane catheter (Toray, Tokyo, Japan) was inserted into the peripheral region of the target artery through the guidewire under fluoroscopic guidance.…”

Anatomical study of the external carotid artery and its branches for administration of superselective intra-arterial chemotherapy via the superficial temporal artery

“…In recent years, superselective intra-arterial infusion chemotherapy via the superficial temporal artery (STA) for the treatment of advanced cancers has attracted attention [1,2]. In this method, a catheter is inserted via the STA in the preauricular area, and anticancer drugs are superselectively infused under fluoroscopic guidance into cancerous tissue which is fed by the maxillary, facial, and/or lingual arteries.…”

Organ Preservation With Daily Concurrent Chemoradiotherapy Using Superselective Intra-Arterial Infusion via a Superficial Temporal Artery for T3 and T4 Head and Neck Cancer

“…Superselective intra-arterial infusion via the STA (using the HFT method) has become feasible for daily concurrent radiotherapy and chemotherapy. The superficial temporal approach is technically simple and is probably the easiest method of inserting a catheter into the lingual, facial, or maxillary artery (13). In addition, due to the low daily dose, this method can be used in elderly patients or patients with a poor performance status.…”