The percutaneous anterior approach to the celiac plexus using CT guidance.
This paper describes a new approach to the neurolytic block of the celiac plexus through the anterior abdominal wall using CT guidance. In 5 patients, CT guidance was used for needle placement and visualization of the spread of the injection. Once the pain has been relieved on completion of the neurolytic block, the radiologist proceeds with the biopsy. Pain relief was obtained in 80% of the cases after 2 weeks and in 60% after 6 months. No serious complications were observed. The anterior approach is simple and is useful in those patients with upper chronic abdominal pain scheduled for biopsy of the pancreas, and in those terminally ill patients who cannot tolerate the prone position.
Matamala
Antonio Montero
AM
Servicio de Anestesiologia y Reanimación, Unidad de Tratamiento del Dolor, Hospital de Badalona 'Germans Trias i Pujol,' Badalona BarcelonaSpain.
Lopez
Fernando Vidal
FV
Martinez
Luis Inaraja
LI
D000368:Aged; D002447:Celiac Plexus / Q000000981:diagnostic imaging* / Q000187:drug effects / Q000503:physiopathology; D006801:Humans; D007482:Iothalamate Meglumine; D008297:Male; D008619:Mepivacaine; D008875:Middle Aged; D009407:Nerve Block / Q000379:methods*; D010146:Pain / Q000188:drug therapy; D011677:Punctures; D014057:Tomography, X-Ray Computed
D008619:Mepivacaine; D007482:Iothalamate Meglumine