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Usefulness of Amplatzer Vascular Plug for Preoperative Embolization Before Distal Pancreatectomy with En Bloc Celiac Axis Resection

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.

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Correspondence to Tomoyo Fuji.

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All authors declare that they have no conflict of interest.

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All procedures in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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This study was approved by our institutional review board; prior informed patient consent was waived because ours was a retrospective study.

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Fuji, T., Yamagami, T., Fukumoto, W. et al. Usefulness of Amplatzer Vascular Plug for Preoperative Embolization Before Distal Pancreatectomy with En Bloc Celiac Axis Resection. Cardiovasc Intervent Radiol 42, 1352–1357 (2019). https://doi.org/10.1007/s00270-019-02233-6

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Keywords

  • Pancreatic cancer
  • Distal pancreatectomy with en bloc celiac axis resection
  • Embolization
  • Amplatzer vascular plug
  • Coil