chadwick1 wrote:juliej wrote:Chadwick, I'm confused why your liver was resected but they didn't implant the pump at the same time. I had a met in each of my lungs and still got the pump. Hopefully your liver will stay clear in your next scans, but if you have a recurrence, get a consultation with Dr. Kemeny about the pump.
Hi Julie, thanks, that’s really interesting to hear! I’m not sure but looking at your sig I wonder if perhaps the protocol has changed since then? I’m seeing a different onc at MSK and we were a bit skeptical at first when she said I wouldn’t be a good candidate, but we asked Kingham about it too and he said the same thing: the lung met would mean systemic chemo and that would be a contra-indication for the pump. I won’t pretend to fully understand why medically but they both were pretty unequivocal. Certainly if this scan or another shows more liver recurrence I’ll be bringing it back up!
mpbser wrote:OK, so I got clarification from a physician heavily involved in HAI pumps at Spectrum Health in Grand Rapids. I think he is a liver oncological surgeon. His facility is using the Medtronic SynchroMed II with Codman catheter. MSK is the only place conducting a trial on this new adaptation and everyone else (including this surgeon) is implanting them off-label. These same Medtronic pumps were used for HAI in years past, so Medtronic is not new to the pump business. (Not many years for the particular model currently available, just a few years.) MSK just wants to get FDA-approval for the combination so they can use in further studies. "I don’t think anyone has any true safety concerns, it’s more of a formality," says this surgeon.
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