title: Arterial complication of irreversible electroporation procedure for locally advanced pancreatic cancer.
abstract: Irreversible electroporation (IRE) is a non-thermal ablation technique used especially in locally advanced pancreatic carcinomas that are considered surgically unresectable. We present the first case of acute superior mesenteric artery (SMA) occlusion secondary to pancreatic IRE procedure that has not been reported before in the literature. A 66-year-old man underwent neoadjuvant chemoradiotherapy for locally advanced pancreatic ductal adenocarcinoma. IRE procedure was applied to the patient during laparotomy under general anesthesia. After finishing the procedure, an acute intestinal ischemia was detected. A conventional vascular angiography was performed and a metallic stent was successfully placed to the SMA and blood flow was maintained. It is important to be careful in such cases of tumor involvement of SMA when evaluating for IRE procedure of pancreatic tumor.
authors: Yahya Ekici, Tugan Tezcaner, Hüseyin Onur Aydın, Gökhan Moray, Department of General Surgery, Medical Faculty of Baskent University, 06490 Ankara, Turkey.
authors: Yahya
authors: Y
authors: Ekici
authors: Yahya Ekici, Tugan Tezcaner, Hüseyin Onur Aydın, Gökhan Moray, Department of General Surgery, Medical Faculty of Baskent University, 06490 Ankara, Turkey.
authors: Tugan
authors: T
authors: Tezcaner
authors: Yahya Ekici, Tugan Tezcaner, Hüseyin Onur Aydın, Gökhan Moray, Department of General Surgery, Medical Faculty of Baskent University, 06490 Ankara, Turkey.
authors: Hüseyin Onur
authors: HO
authors: Aydın
authors: Yahya Ekici, Tugan Tezcaner, Hüseyin Onur Aydın, Gökhan Moray, Department of General Surgery, Medical Faculty of Baskent University, 06490 Ankara, Turkey.
authors: Fatih
authors: F
authors: Boyvat
authors: Yahya Ekici, Tugan Tezcaner, Hüseyin Onur Aydın, Gökhan Moray, Department of General Surgery, Medical Faculty of Baskent University, 06490 Ankara, Turkey.
authors: Gökhan
authors: G
authors: Moray
keywords: Irreversible electroporation; Locally advanced pancreatic cancer; Mesenteric artery occlusion; Superior mesenteric artery