Abstract:
PURPOSE:We evaluated the usefulness of the Amplatzer vascular plug (AVP) for preoperative embolization before distal pancreatectomy with en bloc celiac axis resection (DP-CAR). MATERIALS AND METHODS:Between April 2010 and September 2017, 19 patients with locally advanced pancreatic body cancer underwent preoperative embolization of the common hepatic and the left gastric artery (CHA, LGA) with AVP or coils. We compared the embolization success rate, embolization-related complications, the time required for preoperative embolization before DP-CAR and the procedure costs in patients whose CHA was AVP- (n = 7) or coil (n = 12) embolized. RESULTS:The success rate for preoperative AVP and coil embolization was 100% and 83.3%, respectively. The median procedure time was shorter in patients whose CHA was embolized with AVP than coils; the difference was not significant (p = 0.045). The total cost was significantly lower for AVP than coil embolization (p = 0.01). CONCLUSION:The AVP is useful for the preoperative embolization of the CHA before DP-CAR.
journal_name
Cardiovasc Intervent Radioljournal_title
Cardiovascular and interventional radiologyauthors
Fuji T,Yamagami T,Fukumoto W,Baba Y,Chosa K,Ishikawa M,Iida M,Naito A,Murakami Y,Uemura K,Kondo N,Awai Kdoi
10.1007/s00270-019-02233-6subject
Has Abstractpub_date
2019-09-01 00:00:00pages
1352-1357issue
9eissn
0174-1551issn
1432-086Xpii
10.1007/s00270-019-02233-6journal_volume
42pub_type
杂志文章abstract::Supra-aortic vessel injuries are uncommon but can be life-threatening and surgically challenging. Trauma to these vessels may be blunt or penetrating, including iatrogenic trauma following the insertion of central venous lines, which may be preventable. Recent advances in technology have resulted in endovascular thera...
journal_title:Cardiovascular and interventional radiology
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journal_title:Cardiovascular and interventional radiology
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