How long do you keep a HAI pump in for?
The HAI pump is usually in place for six months to one year, often longer than originally necessary to ensure we won't need it again. Placement of the pump requires surgical procedure. It sits within your skin, and one end of it goes deep within your abdomen.
How effective is hepatic artery infusion?
Among 49 patients receiving hepatic arterial infusion of FUDR and systemic oxaliplatin and irinotecan, the overall RR was 92%. Conversion to resection was achieved in 47% of patients, reaching as high as 57% in patients who were chemotherapy naive.
What is HAI treatment?
HAI is a type of regional chemotherapy to treat advanced colorectal cancer that has spread to the liver. It delivers a high dose of chemo directly into the liver's blood supply using a pump that surgeons implant under your skin. In most cases, people have already had surgery on their colon or rectum.
How does the HAI pump work?
An HAI pump is about the size of a hockey puck. It is implanted in your skin between your ribs and your pelvis and connected by a small catheter into the hepatic artery, which supplies blood to your liver. We usually implant the pump while we're performing surgery to remove liver tumors.
How many times can TACE be done?
The average time before a second round of TACE is necessary (because of new tumor) is between 10 and 14 months. TACE can be repeated many times over the course of many years, as long as it remains technically possible and you continue to be healthy enough to tolerate repeat procedures.
Why are chemo pumps used?
Your pump is a small, lightweight device that will put chemotherapy into your bloodstream at a steady rate. This is called a continuous infusion of chemotherapy.
What is liver metastasis?
Liver metastases refer to cancer that has spread to the liver from somewhere else in the body. Liver metastases are not the same as cancer that starts in the liver, which is called hepatocellular carcinoma.
What are hepatic arteries?
Hepatic artery (HA) is soft oxygenated blood vessel that supplies oxygen-rich blood to the liver, duodenum, and pancreas.
What is a medical infusion pump?
An infusion pump is a medical device that delivers fluids, such as nutrients and medications, into a patient's body in controlled amounts. Infusion pumps are in widespread use in clinical settings such as hospitals, nursing homes, and in the home.
How long do you wear a chemo pump?
Most patients won't have to wear a chemotherapy pump for longer than a few days. But in some cases, patients might need to wear a pump for up to five days, as it has to be running on the days that patients come in for radiation therapy.
Does a chemo pump hurt?
This does not usually hurt and you do not normally need anesthesia. If you have a port or neck or chest catheter, your doctor or radiologist will make a small cut in the skin. Then they will gently remove the port or catheter.
Can you shower with a chemo pump?
If your medication is delivered via a pump, you must also keep the pump dry when bathing. You can try taking your showers/baths at the same time as your medicine bag changes. OR you can place your pump in a clean plastic bag, seal the bag, and hook the covered pump on a shower hook.
Why is a HAI pump used?
The pump is usually inserted at the same time a patient has surgery to remove tumors in the liver. HAI is called an adjuvant treatment, and it provides a way to offer extra cancer-fighting power and eliminate any residual disease.
Where is the HAI pump placed?
The pump is placed under the skin between the ribs and pelvis. It is then connected to the hepatic artery, which supplies blood to the liver, and especially to liver tumors. The pump is usually inserted at the same time a patient has surgery to remove tumors in the liver. HAI is called an adjuvant treatment, and it provides a way to offer extra cancer-fighting power and eliminate any residual disease.
Does HAI mean liver?
When they metastasize, colon cancer and rectal cancer often spread to the liver. HAI is an approach that uses a pump to deliver chemotherapy directly to the liver. The study looked at all the patients who underwent surgery at MSK to remove liver metastases from colorectal cancers between 1992 and 2012. The largest retrospective study ever done on ...
Do you have to wear a mask at MSK?
Masks Are Still Required at MSK. Patients and visitors must continue to wear masks while at MSK, including people who are fully vaccinated. MSK is offering COVID-19 vaccines to all patients age 12 and over. To schedule or learn more, read this. News & Information /.
Is the HAI pump used for cholangiocarcinoma?
The HAI pump is also being studied in intrahepatic cholangiocarcinoma, a type of cancer originating in the liver that is becoming more common. “We see a doubling of response rate in patients with unresectable disease who also get the pump versus those who get systemic chemotherapy alone,” Dr. D’Angelica says.
Surgery
Surgery is the preferred treatment for gallbladder cancer and offers the best chance for a cure. For tumors that have not spread beyond the gallbladder, the most effective procedure is called a radical cholecystectomy. In this procedure, a surgeon removes the gallbladder, nearby lymph nodes, and some of the tissue surrounding the organs.
Symptom Relief
Some people with gallbladder cancer can’t have surgery because the tumor has spread or is in too difficult a place to be entirely removed by surgery. The tumor may be blocking bile from draining out of the gallbladder, causing discomfort. At MSK, we can use minimally invasive, image-guided procedures to remove blockages and relieve symptoms.
Chemotherapy
Chemotherapy is a drug or combination of drugs that kills cancer cells wherever they are in the body. Several chemotherapy approaches have been shown to shrink gallbladder tumors and possibly improve survival.
Radiation Therapy
Radiation may be used for people with gallbladder tumors that cannot be removed by surgery. The radiation may be given alone or in combination with chemotherapy and other treatments.
Why should I choose Memorial Sloan Kettering for gallbladder cancer treatment?
A multidisciplinary team of experts who are highly experienced in the treatment of gallbladder cancer. This includes world-class specialists in surgery, chemotherapy, radiology, pathology, nursing, and social work.
Why do we need a HAI pump?
The HAI pump is placed to avoid cancer recurrence. However, if it is not possible for us to surgically remove cancer from your liver, we may use an HAI pump as a first treatment approach. Learn how to prepare to receive an HAI pump, as well as what to expect during recovery after surgery. Share This Page: Post Tweet.
What is a HAI pump?
Penn Medicine cancer specialists are national leaders in using hepatic artery infusion (HAI) pumps to treat metastatic colon cancer (cancer that has spread from the colon to the liver) and intrahepatic cholangiocarcinoma (cancer that develops in the cells within the bile ducts both inside and outside the liver).
Where is the HAI pump implanted?
An HAI pump is about the size of a hockey puck. It is implanted in your skin between your ribs and your pelvis and connected by a small catheter into the hepatic artery, which supplies blood to your liver. We usually implant the pump while we’re performing surgery to remove liver tumors.
Can you use a HAI pump for chemotherapy?
Since the HAI pump treats only the liver, we use it in conjunction with intravenous chemotherapy. Traditional IV chemotherapy can prevent cancer from spreading or occurring elsewhere in your body.
Can a HAI pump be used for colon cancer?
HAI pumps are not usually the first line of treatment for metastatic colon cancer or intrahepatic cholangiocarcinoma. Often, you first receive a liver resection, tumors are removed and then a pump is used. The most likely spot for recurrence of metastatic colon cancer after a liver resection is in other parts of the liver.
How long does it take to recover from a HAI pump?
If you are receiving only the HAI pump during surgery, it can be placed in a procedure that lasts about an hour and a half, and you can expect to recover in the hospital for about three days.
How to prepare for HAI pump surgery?
Preparing for Surgery to Place an HAI Pump. To prepare for surgery, you will have imaging done — usually a CT scan or MRI — so we can see the pattern of your arteries and determine where to place the pump. We'll give you specific instructions on when to stop eating, drinking and taking medications prior to surgery.
How long does a HAI pump last?
The HAI pump is usually in place for six months to one year, often longer than originally necessary to ensure we won’t need it again. Placement of the pump requires surgical procedure. It sits within your skin, and one end of it goes deep within your abdomen.
What to expect when you need a HAI pump?
What to Expect if You Need an HAI Pump. If you're receiving a hepatic artery infusion (HAI) pump, it's important to know how to best prepare for your procedure. This includes any tests you'll need before surgery, as well as what to expect as you recover.
Can you feel the HAI pump?
After the HAI pump is placed, you may be able to see or feel it beneath your skin. It may be uncomfortable to wear close-fitting clothing at first, but as you get used to the pump, you’ll be able to wear tighter clothing again. The pump will release medicine at a set rate.
