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

Journal Article · Sun Sep 15 04:00:00 EDT 2019 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-019-02233-6· OSTI ID:22970631

Fuji, Tomoyo ^[1]; Yamagami, Takuji ^[2]; Fukumoto, Wataru; Baba, Yasutaka; Chosa, Keigo ^[3]; Ishikawa, Masaki ^[4]; Iida, Makoto ^[3]; Naito, Akira ^[1]; Murakami, Yoshiaki; Uemura, Kenichiro; Kondo, Naru ^[5]; Awai, Kazuo ^[3]

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1. Chugoku Rosai Hospital, Department of Radiology (Japan)
2. Kochi University, Diagnostic Radiology (Japan)
3. Hiroshima University, Diagnostic Radiology (Japan)
4. National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Department of Diagnostic Radiology (Japan)
5. Hiroshima University, Department of Surgery (Japan)

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.

• OSTI ID: 22970631
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 9 Vol. 42; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
LIVER
NEOPLASMS
PANCREAS
PATIENTS
VASCULAR DISEASES