Utility of Amplatzer Vascular Plug with Preoperative Common Hepatic Artery Embolization for Distal Pancreatectomy with En Bloc Celiac Axis Resection
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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.
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.
AVP application is feasible and safe as an embolic procedure for preoperative CHA embolization of DP-CAR.
KeywordsEmbolization Vascular plug En bloc celiac axis resection Pancreatic body cancer
Compliance with Ethical Standards
This article does not contain any studies with animals performed by any of the authors.
Conflict of interest
On behalf of all authors, the corresponding author states that there is no conflict of interest.
For this type of study formal consent is not required.
Informed consent was obtained from all individual participants included in the study.
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