杨宁介入医学网

Insufficient Technical Standardization

Techniques and protocols for HAIC have yet to be standardized.

HAIC的技术和方案尚未标准化。
 

 The efficacy and safety of HAIC depend substantially on the quality of vascular redistribution.

HAIC的有效性和安全性在很大程度上取决于血管再分配的质量。
 

 The success rate of vascular redistribution is generally high (approximately 80%) [71].

血管再分配的成功率一般较高（约80%）[71]。
 

 Extrahepatic arterial flow into the liver, most commonly from the right inferior phrenic artery, may be an obstacle to redistribution [71,72].

肝外动脉流入肝脏，最常见的是从右膈下动脉，可能是[71,72]再分配的一个障碍。
 

 Yamagumi et al.reported that embolization of this extrahepatic artery may contribute to a successful redistribution[72].

Yamagumi等人 [72] 报道，肝外动脉的栓塞可能有助于成功的再分配。

 

 However, the protocols of redistribution are not standardized among different geographical regions and institutions.

然而，不同地理区域和机构之间的再分配协议并没有标准化。
 

Regarding port-catheter system implantation, different technical protocols vary in terms of the following details; arterial access site [70], catheter tip position [73], catheter tip fixation with glue or coil [74], and type of coils used for embolization [75].

对于港-导管系统的植入，不同的技术方案在以下细节上有所不同：动脉进入部位[70]、导管尖端位置[73]、导管尖端用胶或线圈[74]固定，以及用于栓塞[75]的线圈类型。
 

 Some investigators also incorporated lipiodol infusion into HAIC treatment[23,76,77]

一些研究人员还将碘油输注纳入HAIC治疗 [23,76,77].。

 

 In the design of future trials for HAIC, standardizing technical protocols among different centers is crucial to avoid biased outcomes.

在HAIC未来试验的设计中，不同中心之间的标准化技术协议对于避免有偏见的结果至关重要。