Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 3/2017

01-03-2017 | Technical Note

Utility of Amplatzer Vascular Plug with Preoperative Common Hepatic Artery Embolization for Distal Pancreatectomy with En Bloc Celiac Axis Resection

Authors: Masafumi Toguchi, Masakatsu Tsurusaki, Isao Numoto, Syojiro Hidaka, Miho Yamakawa, Nobuyuki Asato, SungWoon Im, Yukinobu Yagyu, Mitsuru Matsuki, Yoshifumi Takeyama, Takamichi Murakami

Published in: CardioVascular and Interventional Radiology | Issue 3/2017

Login to get access

Abstract

Purpose

To evaluate the feasibility and safety of the Amplatzer vascular plug (AVP) for preoperative common hepatic embolization (CHA) before distal pancreatectomy with en bloc celiac axis resection (DP-CAR) to redistribute blood flow to the stomach and liver via the superior mesenteric artery (SMA).

Materials and Methods

Four patients (3 males, 1 female; median age 69 years) with locally advanced pancreatic body cancer underwent preoperative CHA embolization with AVP. After embolization, SMA arteriography was performed to confirm the alteration of blood flow from the SMA to the proper hepatic artery.

Results

In three of four patients, technical successes were achieved with sufficient margin from the origin of gastroduodenal artery. In one patient, the margin was less than 5 mm, although surgery was successfully performed without any problem. Eventually, all patients underwent the DP-CAR without arterial reconstruction or liver ischemia.

Conclusions

AVP application is feasible and safe as an embolic procedure for preoperative CHA embolization of DP-CAR.
Literature
1.
Takahashi T, Ishikura H, Motohara T, Okushiba S, Dohke M, Katoh H. Perineural invasion by ductal adenocarcinoma of the pancreas. J Surg Oncol. 1997;65:164–70.CrossRefPubMed
2.
Kondo S, Katoh H, Hirano S, Ambo Y, Tanaka E, Okushiba S, Morikawa T. Results of radical distal pancreatectomy with en bloc resection of the celiac artery for locally advanced cancer of the pancreatic body. Langenbecks Arch Surg. 2003;388(2):101–6.CrossRefPubMed
3.
Hirano S, Kondo S, Hara T, Ambo Y, Tanaka E, Shichinohe T, Suzuki O, Hazama K. Distal pancreatectomy with en bloc celiac axis resection for locally advanced pancreatic body cancer: long-term results. Ann Surg. 2007;246:46–51.CrossRefPubMedPubMedCentral
4.
Yamagami T, Yoshimatsu R, Kajiwara K, Ishikawa M, Murakami Y, Uemura K, Awai K. Arteriography after embolization before distal pancreatectomy with en bloc celiac axis resection. Minim Invasive Ther Allied Technol. 2015;24(6):350–5.CrossRefPubMed
5.
Takasaka I, Kawai N, Sato M, Tanihata H, Sonomura T, Minamiguchi H, Nakai M, Ikoma A, Nakata K, Sanda H. Preoperative microcoil embolization of the common hepatic artery for pancreatic body cancer. World J Gastroenterol. 2012;18(16):1940–5.CrossRefPubMedPubMedCentral
6.
Rajesh GN, Sajeer K, Nair A, Haridasan V, Sajeev CG, Krishnan MN. Device closure of pulmonary arteriovenous malformation using Amplatzer vascular plug II in hereditary hemorrhagic telangiectasia. Indian Heart J. 2015;67(5):455–8.CrossRefPubMedPubMedCentral
7.
Veeram Reddy SR, Patel VG, Gualano SK. Amplatzer vascular plug IV for occlusion of pulmonary arteriovenous malformations in a patient with cryptogenic stroke. Ann Pediatr Cardiol. 2014;7(2):145–7.CrossRefPubMedPubMedCentral
8.
Burbelko M, Kalinowski M, Heverhagen JT, Piechowiak E, Kiessling A, Figiel J, Swaid Z, Geks J, Hundt W. Prevention of type ii endoleak using the AMPLATZER vascular plug before endovascular aneurysm repair. Eur J Vasc Endovasc Surg. 2014;47(1):28–36.CrossRefPubMed
9.
Ferro C, Petrocelli F, Rossi UG, Bovio G, Dahmane M, Seitun S. Vascular percutaneous transcatheter embolization with a new device: Amplatzer vascular plug. Radiol Med. 2007;112:239–51.CrossRefPubMed
10.
Cil B, Canyigit M, Ozkan OS, Pamuk GA, Dogan R. Bilateral multiple pulmonary arteriovenous malformations: endovascular treatment with the Amplatzer vascular plug. J Vasc Interv Radiol. 2006;17:141–5.CrossRefPubMed
11.
Idowu O, Barodawala F, Nemeth A, Trerotola SO. Dual use of an Amplatzer device in the transcatheter embolization of a large high-flow renal arteriovenous fistula. J Vasc Interv Radiol. 2007;18:671–6.CrossRefPubMed
12.
Ishikawa M, Kajiwara K, Fukumoto W, Murakami Y, Awai K. Blood flow redistribution using the AMPLATZER vascular plug 4 before distal pancreatectomy with en bloc celiac axis resection. J Vasc Interv Radiol. 2016;27(2):285–6.CrossRefPubMed
13.
UICC. TNM classification of malignant tumors. In: Sobin L, Wittekind C, editors. Breast tumours. 6th ed. New York: Wiley; 2002. pp. 93–6.
14.
Nordback IH, Hruban RH, Boitnott JK, Pitt HA, Cameron JL. Carcinoma of the body and tail of the pancreas. Am J Surg. 1992;164(1):26–31.CrossRefPubMed
15.
Kondo S, Katoh H, Hirano S, Ambo Y, Tanaka E, Maeyama Y, Morikawa T, Okushiba S. Ischemic gastropathy after distal pancreatectomy with celiac axis resection. Surg Today. 2004;34:337–40.CrossRefPubMed
Metadata
Title
Utility of Amplatzer Vascular Plug with Preoperative Common Hepatic Artery Embolization for Distal Pancreatectomy with En Bloc Celiac Axis Resection
Authors
Masafumi Toguchi
Masakatsu Tsurusaki
Isao Numoto
Syojiro Hidaka
Miho Yamakawa
Nobuyuki Asato
SungWoon Im
Yukinobu Yagyu
Mitsuru Matsuki
Yoshifumi Takeyama
Takamichi Murakami
Publication date
01-03-2017
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 3/2017
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-016-1509-9

Other articles of this Issue 3/2017

CardioVascular and Interventional Radiology 3/2017 Go to the issue

Case Report

Perioperative Hemodynamic Monitoring of Common Hepatic Artery for Endovascular Embolization of a Pancreaticoduodenal Arcade Aneurysm with Celiac Stenosis

Technical Note

The Monorail Technique to Overcome Difficult Anatomical Course During Implantation of Central Venous Port via the Left Internal Jugular Vein

Erratum

Erratum to: Chemoembolization of Neuroendocrine Liver Metastases Using Streptozocin and Tris-acryl Microspheres: Embozar (EMBOsphere + ZAnosaR) Study

Review

Direct Oral Anticoagulants: An Overview for the Interventional Radiologist

Letter to the Editor

Aortic Balloon Occlusion for Placenta Previa Accreta: Surgical Details are Important

Clinical Investigation

Radiofrequency Ablation of Hepatocellular Carcinoma with a “Nodule-in-Nodule” Appearance: Long-Term Follow-up and Clinical Implications