title: Percutaneous irreversible electroporation of locally advanced pancreatic carcinoma using the dorsal approach: a case report.
abstract: Irreversible electroporation (IRE) is a novel image-guided ablation technique that is increasingly used to treat locally advanced pancreatic carcinoma (LAPC). We describe a 67-year-old male patient with a 5 cm stage III pancreatic tumor who was referred for IRE. Because the ventral approach for electrode placement was considered dangerous due to vicinity of the tumor to collateral vessels and duodenum, the dorsal approach was chosen. Under CT-guidance, six electrodes were advanced in the tumor, approaching paravertebrally alongside the aorta and inferior vena cava. Ablation was performed without complications. This case describes that when ventral electrode placement for pancreatic IRE is impaired, the dorsal approach could be considered alternatively.
authors.affiliation: Department of Radiology and Nuclear Medicine, VU University Medical Center, de Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands, hj.scheffer@vumc.nl.
authors.forename: Hester J
authors.initials: HJ
authors.lastname: Scheffer
authors.forename: Marleen C A M
authors.initials: MC
authors.lastname: Melenhorst
authors.forename: Jantien A
authors.initials: JA
authors.lastname: Vogel
authors.forename: Aukje A J M
authors.initials: AA
authors.lastname: van Tilborg
authors.forename: Karin
authors.initials: K
authors.lastname: Nielsen
authors.forename: Geert
authors.initials: G
authors.lastname: Kazemier
authors.forename: Martijn R
authors.initials: MR
authors.lastname: Meijerink
mesh_terms: D000230:Adenocarcinoma / Q000628:therapy*; D000368:Aged; D017115:Catheter Ablation / Q000379:methods*; D018274:Electroporation / Q000379:methods*; D006801:Humans; D008297:Male; D010179:Pancreas / Q000000981:diagnostic imaging; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000628:therapy*; D015641:Radiography, Interventional; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome