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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 9/2019

01-09-2019 | Pancreatectomy | Technical Note

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

Authors: Tomoyo Fuji, Takuji Yamagami, Wataru Fukumoto, Yasutaka Baba, Keigo Chosa, Masaki Ishikawa, Makoto Iida, Akira Naito, Yoshiaki Murakami, Kenichiro Uemura, Naru Kondo, Kazuo Awai

Published in: CardioVascular and Interventional Radiology | Issue 9/2019

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Abstract

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.
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Metadata
Title
Usefulness of Amplatzer Vascular Plug for Preoperative Embolization Before Distal Pancreatectomy with En Bloc Celiac Axis Resection
Authors
Tomoyo Fuji
Takuji Yamagami
Wataru Fukumoto
Yasutaka Baba
Keigo Chosa
Masaki Ishikawa
Makoto Iida
Akira Naito
Yoshiaki Murakami
Kenichiro Uemura
Naru Kondo
Kazuo Awai
Publication date
01-09-2019
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 9/2019
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-019-02233-6

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