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Langenbeck's Archives of Surgery

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01-07-2015 | How-I-Do-It article

Endovascular stenting of mesenterico-portal vein stenosis to reduce blood flow through venous collaterals prior to pancreatoduodenectomy

Authors: Terence C. Chua, Frank Wang, Richard Maher, Sivakumar Gananadha, Anubhav Mittal, Jaswinder S. Samra

Published in: Langenbeck's Archives of Surgery | Issue 5/2015

Abstract

Background

When the mesenterico-portal vein is stenosed due to tumor related compression, venous collaterals develop and flow occurs antegrade towards the portal vein through the collateral tributaries. Undertaking pancreatoduodenectomy for pancreatic cancer in this setting may result in significant blood loss during the process of ligation of these tributaries.

Description of technique

We describe the technique of endovascular stenting of the mesenterico-portal vein to reduce flow within these collateral tributaries and hence blood loss, to facilitate extended pancreatoduodenectomy and vein resection.

Conclusion

Percutaneous transhepatic placement of endovascular stent into a stenotic mesentero-portal vein facilitates pancreatoduodenectomy by reducing operative time, which would otherwise be required in dealing with the extensive venous collaterals and hence also reducing blood loss.

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Title: Endovascular stenting of mesenterico-portal vein stenosis to reduce blood flow through venous collaterals prior to pancreatoduodenectomy
Authors: Terence C. Chua
Frank Wang
Richard Maher
Sivakumar Gananadha
Anubhav Mittal
Jaswinder S. Samra
Publication date: 01-07-2015
Publisher: Springer Berlin Heidelberg
Published in: Langenbeck's Archives of Surgery / Issue 5/2015
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-015-1307-x

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Endovascular stenting of mesenterico-portal vein stenosis to reduce blood flow through venous collaterals prior to pancreatoduodenectomy

Abstract

Background

Description of technique

Conclusion

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Abstract

Background

Description of technique

Conclusion

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