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The aim is to analyse feasibility of a minimally-invasive isolated limb perfusion.
Isolated limb perfusion (ILP) and isolated limb infusion (ILI) are treatment options for patients with in-transit metastases of melanoma and locally advanced extremity sarcomas. There are several advantages for each method, but if the well-established effects of ILP could be combined to the minimally invasive approach of ILI, the results could be maximized and adverse events, related to open approach, minimized.
A new method for vascular approach (MI-ILP) will be evaluated in a phase I feasibility study. Percutaneous vascular access of the ipsilateral side will be performed by ultrasound guided technique and connected to an extracorporeal oxygenation system. Perfusion will be conducted in the same way as for open ILP. Outcomes, technical details and complications will be recorded prospectively.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MI-ILP |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Minimal-invasive isolated limb perfusion | Other | Minimal-invasive isolated limb perfusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| Conversion to open surgery | Number of minimal-invasive procedure that will be converted to open surgery (per cent) | 1 day |
| Measure | Description | Time Frame |
|---|---|---|
| Response | Clinical response rate according to WHO criteria. | 3 months |
| Complications | Complications according to Clavien-Dindo | 30 days |
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Inclusion Criteria:
Exclusion Criteria:
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Patients scheduled for isolated limb perfusion.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Roger Olofsson Bagge, MD, PhD | Contact | +46 31 3420000 | roger.olofsson.bagge@gu.se |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sahlgrenska University Hospital | Recruiting | Gothenburg | 413 45 | Sweden |
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