Preoperative Embolization of the Celiac Axis or Common Hepatic Artery before Distal Pancreatectomy with Resection of the Celiac Axis

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• 作者：Markus Zimmermann ; MD^a ; ^{mzimmermann@ukaachen.de} ; Martin Liebl ; MD^a ; Maximilian Schulze-Hagen ; MD^a ; Federico Pedersoli ; MD^a ; Jochen Pfeffer ; MD^a ; Maximilian Schmeding ; MD^b ; Peter Isfort ; MD^a ; Christiane K. Kuhl ; MD^a ; Philipp Bruners ; MD^a
• 关键词：CA ; celiac axis ; CHA ; common hepatic artery ; DP-CAR ; distal pancreatectomy with celiac axis resection ; DSA ; digital subtraction angiography ; GDA ; gastroduodenal artery ; SMA ; superior mesenteric artery
• 刊名：Journal of Vascular and Interventional Radiology
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：28
• 期：1
• 页码：60-63
• 全文大小：683 K
• 卷排序：28

文摘

Patients with locally advanced pancreatic cancer who undergo distal pancreatectomy with resection of the celiac axis (CA) are at risk for postoperative hepatic or gastric ischemia if collateral blood flow from the superior mesenteric artery (SMA) via the gastroduodenal artery is insufficient. This study presents a technique for preoperative angiographic evaluation of these collateral vessels by using an AMPLATZER Vascular Plug to temporarily occlude the CA or common hepatic artery while simultaneously performing digital subtraction angiography of the SMA. If collateral vessels are deemed sufficient, the plug can subsequently be released for permanent occlusion with the intent to enhance the blood flow in these collateral vessels.