Preoperative Coil Embolization in Patients With a Replaced Hepatic Artery Scheduled for Pancreatectomy With Splanchnic Artery Resection Helps to Prevent lschemic Organ Injury

被引:3
|
作者
Ishikawa, Masaki [1 ]
Yamagami, Takuji [2 ]
Kakizawa, Hideaki [3 ,4 ]
Hieda, Masashi [5 ]
Toyota, Naoyuki [6 ]
Fukumoto, Wataru [7 ]
Kajiwara, Kenji [7 ]
Yoshimatsu, Rika [2 ]
Sudo, Takeshi [8 ]
Murakami, Yoshiaki [9 ]
Awai, Kazuo [10 ]
机构
[1] Hiroshima Univ Hosp, Dept Diagnost Radiol, Hiroshima 7348551, Japan
[2] Kochi Univ, Sch Med, Dept Radiol, Nankoku, Kochi, Japan
[3] Hiroshima Red Cross Hosp, Dept Radiol, Hiroshima, Japan
[4] Atom Bomb Survivors Hosp, Hiroshima, Japan
[5] Hiroshima City Hosp, Dept Radiol, Hiroshima, Japan
[6] Natl Hosp Org, Kure Med Ctr, Dept Radiol, Kure, Japan
[7] Hiroshima Univ, Grad Sch Biomed & Hlth Sci, Dept Diagnost Radiol, Hiroshima, Japan
[8] Hiroshimakinen Hosp, Dept Surg, Hiroshima, Japan
[9] Hiroshima Univ, Dept Surg Appl Life Sci, Inst Biomed & Hlth Sci, Hiroshima, Japan
[10] Hiroshima Univ, Dept Diagnost Radiol, Inst Biomed & Hlth Sci, Hiroshima, Japan
关键词
coil embolization; pancreatic cancer; arterial resection; liver ischemia; CELIAC AXIS RESECTION; DISTAL PANCREATECTOMY; COMMUNICATING ARCADE; BODY CANCER; PANCREAS;
D O I
10.1097/RCT.0000000000000325
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Objective: The aim of this study was to evaluate the prevention of liver ischemic injury by preoperative coil embolization in patients with a replaced hepatic artery scheduled for pancreatectomy with splanchnic artery resection. Methods: Between July 2009 and May 2012, 4 patients with replaced hepatic artery underwent pancreatectomy plus splanchnic artery resection. The replaced right hepatic artery was preoperatively embolized in 2 patients. In the other 2 patients, the common hepatic artery was embolized preoperatively. We evaluated the complications encountered in the perioperative period. Results: There were no embolization-related complications. Although 2 patients presented with small liver infarcts, the aspartate aminotransferase and alanine aminotransferase levels did not exceed 1000 IU/L in any of the patients, and none experienced severe liver injury. Conclusions: Coil embolization before pancreatectomy with splanchnic artery resection in patients with a replaced hepatic artery may help to prevent severe ischemic liver injury in the perioperative period.
引用
收藏
页码:172 / 176
页数:5
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