Preoperative Coil Embolization in Patients With a Replaced Hepatic Artery Scheduled for Pancreatectomy With Splanchnic Artery Resection Helps to Prevent Ischemic Organ Injury.

Abstract:

OBJECTIVE:The aim of this study was to evaluate the prevention of liver ischemic injury by preoperative coil embolization in patients with a replaced hepatic artery scheduled for pancreatectomy with splanchnic artery resection. METHODS:Between July 2009 and May 2012, 4 patients with replaced hepatic artery underwent pancreatectomy plus splanchnic artery resection. The replaced right hepatic artery was preoperatively embolized in 2 patients. In the other 2 patients, the common hepatic artery was embolized preoperatively. We evaluated the complications encountered in the perioperative period. RESULTS:There were no embolization-related complications. Although 2 patients presented with small liver infarcts, the aspartate aminotransferase and alanine aminotransferase levels did not exceed 1000 IU/L in any of the patients, and none experienced severe liver injury. CONCLUSIONS:Coil embolization before pancreatectomy with splanchnic artery resection in patients with a replaced hepatic artery may help to prevent severe ischemic liver injury in the perioperative period.

journal_name

J Comput Assist Tomogr

authors

Ishikawa M,Yamagami T,Kakizawa H,Hieda M,Toyota N,Fukumoto W,Kajiwara K,Yoshimatsu R,Sudo T,Murakami Y,Awai K

doi

10.1097/RCT.0000000000000325

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

172-6

issue

1

eissn

0363-8715

issn

1532-3145

journal_volume

40

pub_type

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