Evidence map›Paper›PMID 40940601›Full record

ReviewAnnals of surgical oncology2025

The Landmark Series: Hepatic Arterial Infusion Pump Chemotherapy for Colorectal Liver Metastases and Intrahepatic Cholangiocarcinoma.

Loubna Outmani, Merve Rousian, Dirk Grunhagen, Ryan Merkow, Michael Cavnar, Nicholas Hornstein, Bas Groot Koerkamp, Sepideh Gholami

Abstract readReview
PubMed Publisher
In one paragraph

Review in Annals of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Loubna OutmaniDepartment of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Merve RousianDepartment of HPB- and Transplant surgery, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Dirk GrunhagenDepartment of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Ryan MerkowDepartment of Surgery, Surgical Outcomes and Quality Improvement Center, Northwestern University, Chicago, IL, USA.
Michael CavnarDepartment of Surgery, University of Kentucky, Lexington, KY, USA.
Nicholas HornsteinDepartment of Medicine, Northwell Health, New Hyde Park, NY, USA.
Bas Groot KoerkampDepartment of HPB- and Transplant surgery, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Sepideh GholamiDepartment of Surgery, Northwell Health, New Hyde Park, NY, USA. sgholami@northwell.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatic arterial infusion pump (HAIP) chemotherapy delivers continuous locoregional chemotherapy directly to the liver, maximizing intrahepatic tumor exposure while minimizing systemic toxicity. Originally developed at Memorial Sloan Kettering Cancer Center, HAIP chemotherapy with floxuridine is increasingly used for colorectal liver metastases (CRLM) and intrahepatic cholangiocarcinoma (iCCA). This paper presents a review of phase II and III trials, retrospective studies, and ongoing prospective trials was conducted to evaluate the efficacy of HAIP floxuridine combined with systemic regimens in patients with unresectable and resectable liver-confined CRLM and iCCA.

resultsIn unresectable CRLM, HAIP yields conversion rates between 20 to 55% resulting in 5-year overall survival (OS) up to 50%. In the setting of adjuvant HAIP after resection of CRLM, a first large randomized controlled trial (RCT) showed a 2-year OS of 86% compared with 72% in patients with adjuvant systemic therapy alone. In a second RCT, the median OS was 47 months after HAIP with systemic chemotherapy versus 34 months without adjuvant chemotherapy. For unresectable iCCA, studies have found a response rate of 21% and a 3-year OS of 3% following systemic therapy alone (ABC trials), while outcomes for patients receiving HAIP chemotherapy combined with systemic therapy have included response rates up to 58% and 3-year OS up to 43%.

conclusionHepatic arterial infusion pump floxuridine is an effective locoregional treatment that improves survival in patients with liver-confined CRLM and iCCA. Confirmation from ongoing RCTs is awaited to define its role alongside evolving systemic therapies.

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.