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CardioVascular and Interventional Radiology

, Volume 40, Issue 3, pp 445–449 | Cite as

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

  • Masafumi ToguchiEmail author
  • Masakatsu Tsurusaki
  • Isao Numoto
  • Syojiro Hidaka
  • Miho Yamakawa
  • Nobuyuki Asato
  • SungWoon Im
  • Yukinobu Yagyu
  • Mitsuru Matsuki
  • Yoshifumi Takeyama
  • Takamichi Murakami
Technical Note

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.

Keywords

Embolization Vascular plug En bloc celiac axis resection Pancreatic body cancer 

Notes

Compliance with Ethical Standards

Animal Rights

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.

Formal Consent

For this type of study formal consent is not required.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2016

Authors and Affiliations

  • Masafumi Toguchi
    • 1
    • 4
    Email author
  • Masakatsu Tsurusaki
    • 1
  • Isao Numoto
    • 1
  • Syojiro Hidaka
    • 1
  • Miho Yamakawa
    • 1
  • Nobuyuki Asato
    • 2
  • SungWoon Im
    • 1
  • Yukinobu Yagyu
    • 1
  • Mitsuru Matsuki
    • 1
  • Yoshifumi Takeyama
    • 3
  • Takamichi Murakami
    • 1
  1. 1.Department of Radiology, Faculty of MedicineKindai UniversityOsaka-SayamaJapan
  2. 2.Department of Radiology, Faculty of Medicine, Nara HospitalKindai UniversityIkomaJapan
  3. 3.Department of Surgery, Faculty of MedicineKindai UniversityOsaka-SayamaJapan
  4. 4.Department of Radiology, Graduate School of Medical ScienceUniversity of the RyukyusNishihara-choJapan

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