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CardioVascular and Interventional Radiology

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17.11.2016 | Technical Note

Utility of Amplatzer Vascular Plug with Preoperative Common Hepatic Artery Embolization for Distal Pancreatectomy with En Bloc Celiac Axis Resection

verfasst von: Masafumi Toguchi, Masakatsu Tsurusaki, Isao Numoto, Syojiro Hidaka, Miho Yamakawa, Nobuyuki Asato, SungWoon Im, Yukinobu Yagyu, Mitsuru Matsuki, Yoshifumi Takeyama, Takamichi Murakami

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 3/2017

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Abstract

Purpose

To evaluate the feasibility and safety of the Amplatzer vascular plug (AVP) for preoperative common hepatic embolization (CHA) before distal pancreatectomy with en bloc celiac axis resection (DP-CAR) to redistribute blood flow to the stomach and liver via the superior mesenteric artery (SMA).

Materials and Methods

Four patients (3 males, 1 female; median age 69 years) with locally advanced pancreatic body cancer underwent preoperative CHA embolization with AVP. After embolization, SMA arteriography was performed to confirm the alteration of blood flow from the SMA to the proper hepatic artery.

Results

In three of four patients, technical successes were achieved with sufficient margin from the origin of gastroduodenal artery. In one patient, the margin was less than 5 mm, although surgery was successfully performed without any problem. Eventually, all patients underwent the DP-CAR without arterial reconstruction or liver ischemia.

Conclusions

AVP application is feasible and safe as an embolic procedure for preoperative CHA embolization of DP-CAR.

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Titel: Utility of Amplatzer Vascular Plug with Preoperative Common Hepatic Artery Embolization for Distal Pancreatectomy with En Bloc Celiac Axis Resection
verfasst von: Masafumi Toguchi
Masakatsu Tsurusaki
Isao Numoto
Syojiro Hidaka
Miho Yamakawa
Nobuyuki Asato
SungWoon Im
Yukinobu Yagyu
Mitsuru Matsuki
Yoshifumi Takeyama
Takamichi Murakami
Publikationsdatum: 17.11.2016
Verlag: Springer US
Erschienen in: CardioVascular and Interventional Radiology / Ausgabe 3/2017
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-016-1509-9

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Utility of Amplatzer Vascular Plug with Preoperative Common Hepatic Artery Embolization for Distal Pancreatectomy with En Bloc Celiac Axis Resection