Case-Based Clinical Guidance on Dosing and Management of the Hepatic Artery Infusion Chemotherapy Pump
Devika Rao, Carleton S. Ellis, Nancy E. Kemeny, Andrea Cercek
Abstract
Hepatic artery infusion (HAI) delivers localized high-dose floxuridine directly to liver tumors through an implanted pump. While patients are undergoing active treatment, the pump is refilled with chemotherapy alternating with saline every 2 weeks using a specialized noncoring needle. Numerous clinical scenarios influence the dosing of floxuridine, which do not conform to the usual dose modification schema for systemic chemotherapy. This article aims to provide practical clinical management solutions to overcome the common challenges faced by oncologists in the real-world management of HAI pump therapy.
Topics & Concepts
FloxuridineDosingChemotherapyMedicineInfusion pumpArteryAnesthesiaSurgeryInternal medicineFluorouracilOrgan Transplantation Techniques and OutcomesHepatocellular Carcinoma Treatment and PrognosisRenal Transplantation Outcomes and Treatments