Preoperative microcoil embolization of the common hepatic artery for pancreatic body cancer.

World Journal of Gastroenterology : WJG
Isao TakasakaHiroki Sanda

Abstract

To evaluate safety and feasibility of microcoil embolization of the common hepatic artery under proper or distal balloon inflation in preoperative preparation for en bloc celiac axis resection for pancreatic body cancer. Fifteen patients (11 males, 4 females; median age, 67 years) with pancreatic body cancer involving the nerve plexus surrounding the celiac artery underwent microcoil embolization. To alter the total hepatic blood flow from superior mesenteric artery (SMA), microcoil embolization of the common hepatic artery (CHA) was conducted in 2 cases under balloon inflation at the proximal end of the CHA and in 13 cases under distal microballoon inflation at the distal end of the CHA. Of the first two cases of microcoil embolization with proximal balloon inflation, the first was successful, but there was microcoil migration to the proper hepatic artery in the second. The migrated microcoil was withdrawn to the CHA by an inflated microballoon catheter. Microcoil embolization was successful in the other 13 cases with distal microballoon inflation, with no microcoil migration. Compact microcoil embolization under distal microballoon inflation created sufficient resistance against the vascular wall to prevent migration. Distal ...Continue Reading

References

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Citations

Mar 19, 2014·Cirugía española·Emilio VicenteAlmudena Moreno
Apr 10, 2015·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Takuji YamagamiKazuo Awai
Feb 3, 2016·Journal of Vascular and Interventional Radiology : JVIR·Masaki IshikawaKazuo Awai
Jun 28, 2015·Langenbeck's Archives of Surgery·Alexander GluthWerner Hartwig
Apr 14, 2016·Khirurgiia·V I EgorovM V Grigorievsky
Jun 28, 2020·Clinical & Translational Oncology : Official Publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico·J M RamiaM Serradilla
Nov 9, 2017·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Tomohiro MatsumotoTerumitsu Hasebe
Nov 14, 2019·Journal of Clinical Medicine·Thomas Hank, Oliver Strobel
Feb 10, 2017·Cardiovascular and Interventional Radiology·Daisuke YunaiyamaKazuhiro Saito
Oct 8, 2020·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Jose M RamiaMario Serradilla-Martín

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