Minimally Invasive Isolated Limb Perfusion (MI-ILP) for Locally Advanced Melanomas and Sarcomas of the Extremity.

IF 1.2 4区 综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES Jove-Journal of Visualized Experiments Pub Date : 2025-01-31 DOI:10.3791/66876
Anne Huibers, Andrew Wong, Ellen Krabbe, Per Carlson, Roger Olofsson Bagge
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Abstract

Minimally invasive isolated limb perfusion (MI-ILP) is a treatment option for patients with locally advanced melanomas and sarcomas of the extremities. Briefly, the procedure starts with percutaneous access of the femoral or brachial vessels in the diseased extremity. It is then isolated from the rest of the body with a tourniquet. The catheters are connected to a heart-lung machine, and the extremity is perfused with a high dose of melphalan. In the literature, the reported overall and complete response rates for ILP are approximately 80% and 60%, respectively. Our previously reported results using MI-ILP, showed similar response rates. The objective of this manuscript is to provide a step-by-step guide on how to perform an MI-ILP. The purpose of this protocol is to enable local perfusion of the extremities with a high dose of chemotherapy without systemic leakage in a minimally invasive manner.

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微创分离肢体灌注(MI-ILP)治疗肢体局部晚期黑色素瘤和肉瘤。
微创分离肢体灌注(MI-ILP)是肢体局部晚期黑色素瘤和肉瘤患者的一种治疗选择。简单地说,手术首先是经皮进入患病肢体的股血管或肱血管。然后用止血带将其与身体其他部位隔离。导管连接到心肺机,并向四肢灌注高剂量的美法仑。在文献中,报告的ILP总体缓解率和完全缓解率分别约为80%和60%。我们之前报道的使用MI-ILP的结果显示相似的反应率。这份手稿的目的是提供一个循序渐进的指导如何执行MI-ILP。本方案的目的是以微创的方式,在高剂量化疗的情况下,使肢体局部灌注无全身渗漏。
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来源期刊
Jove-Journal of Visualized Experiments
Jove-Journal of Visualized Experiments MULTIDISCIPLINARY SCIENCES-
CiteScore
2.10
自引率
0.00%
发文量
992
期刊介绍: JoVE, the Journal of Visualized Experiments, is the world''s first peer reviewed scientific video journal. Established in 2006, JoVE is devoted to publishing scientific research in a visual format to help researchers overcome two of the biggest challenges facing the scientific research community today; poor reproducibility and the time and labor intensive nature of learning new experimental techniques.
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