Preoperative Coil Embolization in Patients With a Replaced Hepatic Artery Scheduled for Pancreatectomy With Splanchnic Artery Resection Helps to Prevent Ischemic Organ Injury.
OBJECTIVE
The aim of this study was to evaluate the prevention of liver ischemic injury by preoperative coil embolization in patients with a replaced hepatic artery scheduled for pancreatectomy with splanchnic artery resection.


METHODS
Between July 2009 and May 2012, 4 patients with replaced hepatic artery underwent pancreatectomy plus splanchnic artery resection. The replaced right hepatic artery was preoperatively embolized in 2 patients. In the other 2 patients, the common hepatic artery was embolized preoperatively. We evaluated the complications encountered in the perioperative period.


RESULTS
There were no embolization-related complications. Although 2 patients presented with small liver infarcts, the aspartate aminotransferase and alanine aminotransferase levels did not exceed 1000 IU/L in any of the patients, and none experienced severe liver injury.


CONCLUSIONS
Coil embolization before pancreatectomy with splanchnic artery resection in patients with a replaced hepatic artery may help to prevent severe ischemic liver injury in the perioperative period.
From the *Department of Diagnostic Radiology, Hiroshima University Hospital, Hiroshima; †Department of Radiology, Kochi University Medical School, Nankoku; ‡Department of Radiology, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital, Hiroshima; §Department of Radiology, Hiroshima City Hospital, Hiroshima; ∥Department of Radiology, National Hospital Organization, Kure Medical Center, Kure; ¶Department of Diagnostic Radiology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima; #Department of Surgery, Hiroshimakinen Hospital, Hiroshima; and Departments of **Surgery, Applied Life Sciences, and ††Diagnostic Radiology, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.
Masaki
M
Ishikawa
Takuji
T
Yamagami
Hideaki
H
Kakizawa
Masashi
M
Hieda
Naoyuki
N
Toyota
Wataru
W
Fukumoto
Kenji
K
Kajiwara
Rika
R
Yoshimatsu
Takeshi
T
Sudo
Yoshiaki
Y
Murakami
Kazuo
K
Awai
D000328:Adult; D000368:Aged; D001807:Blood Vessel Prosthesis; D004621:Embolization, Therapeutic; D005260:Female; D006499:Hepatic Artery / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000517:prevention & control*; D008099:Liver / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000601:surgery*; D011300:Preoperative Care; D013152:Splanchnic Circulation