title: Utility of Amplatzer Vascular Plug with Preoperative Common Hepatic Artery Embolization for Distal Pancreatectomy with En Bloc Celiac Axis Resection.
abstract: OBJECTIVE
  To evaluate the feasibility and safety of the Amplatzer vascular plug (AVP) for preoperative common hepatic embolization (CHA) before distal pancreatectomy with en bloc celiac axis resection (DP-CAR) to redistribute blood flow to the stomach and liver via the superior mesenteric artery (SMA).
  
  
  METHODS
  Four patients (3 males, 1 female; median age 69 years) with locally advanced pancreatic body cancer underwent preoperative CHA embolization with AVP. After embolization, SMA arteriography was performed to confirm the alteration of blood flow from the SMA to the proper hepatic artery.
  
  
  RESULTS
  In three of four patients, technical successes were achieved with sufficient margin from the origin of gastroduodenal artery. In one patient, the margin was less than 5 mm, although surgery was successfully performed without any problem. Eventually, all patients underwent the DP-CAR without arterial reconstruction or liver ischemia.
  
  
  CONCLUSIONS
  AVP application is feasible and safe as an embolic procedure for preoperative CHA embolization of DP-CAR.
authors.affiliation: Department of Radiology, Faculty of Medicine, Kindai University, 377-2 Ohno-Higashi, Osaka-Sayama, Osaka, 589-8511, Japan. e024163@yahoo.co.jp.|Department of Radiology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, Nishihara-cho, Okinawa, 903-0215, Japan. e024163@yahoo.co.jp.
authors.forename: Masafumi
authors.identifier: http://orcid.org/0000-0001-6288-0136
authors.initials: M
authors.lastname: Toguchi
authors.affiliation: Department of Radiology, Faculty of Medicine, Kindai University, 377-2 Ohno-Higashi, Osaka-Sayama, Osaka, 589-8511, Japan.
authors.forename: Masakatsu
authors.initials: M
authors.lastname: Tsurusaki
authors.affiliation: Department of Radiology, Faculty of Medicine, Kindai University, 377-2 Ohno-Higashi, Osaka-Sayama, Osaka, 589-8511, Japan.
authors.forename: Isao
authors.initials: I
authors.lastname: Numoto
authors.affiliation: Department of Radiology, Faculty of Medicine, Kindai University, 377-2 Ohno-Higashi, Osaka-Sayama, Osaka, 589-8511, Japan.
authors.forename: Syojiro
authors.initials: S
authors.lastname: Hidaka
authors.affiliation: Department of Radiology, Faculty of Medicine, Kindai University, 377-2 Ohno-Higashi, Osaka-Sayama, Osaka, 589-8511, Japan.
authors.forename: Miho
authors.initials: M
authors.lastname: Yamakawa
authors.affiliation: Department of Radiology, Faculty of Medicine, Nara Hospital, Kindai University, 1248-1 Otoda-chou, Ikoma, Nara, 630-0293, Japan.
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Asato
authors.affiliation: Department of Radiology, Faculty of Medicine, Kindai University, 377-2 Ohno-Higashi, Osaka-Sayama, Osaka, 589-8511, Japan.
authors.forename: SungWoon
authors.initials: S
authors.lastname: Im
authors.affiliation: Department of Radiology, Faculty of Medicine, Kindai University, 377-2 Ohno-Higashi, Osaka-Sayama, Osaka, 589-8511, Japan.
authors.forename: Yukinobu
authors.initials: Y
authors.lastname: Yagyu
authors.affiliation: Department of Radiology, Faculty of Medicine, Kindai University, 377-2 Ohno-Higashi, Osaka-Sayama, Osaka, 589-8511, Japan.
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Matsuki
authors.affiliation: Department of Surgery, Faculty of Medicine, Kindai University, 377-2 Ohno-Higashi, Osaka-Sayama, Osaka, 589-8511, Japan.
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Takeyama
authors.affiliation: Department of Radiology, Faculty of Medicine, Kindai University, 377-2 Ohno-Higashi, Osaka-Sayama, Osaka, 589-8511, Japan.
authors.forename: Takamichi
authors.initials: T
authors.lastname: Murakami
mesh_terms: D000368:Aged; D002445:Celiac Artery / Q000601:surgery*; D003131:Combined Modality Therapy; D004621:Embolization, Therapeutic / Q000295:instrumentation* / Q000379:methods; D005240:Feasibility Studies; D005260:Female; D006499:Hepatic Artery / Q000601:surgery*; D006801:Humans; D008297:Male; D000072662:Margins of Excision; D017538:Mesenteric Artery, Superior / Q000601:surgery; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D010179:Pancreas / Q000473:pathology; D010180:Pancreatectomy / Q000295:instrumentation*; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000601:surgery*; D011300:Preoperative Care; D055989:Septal Occluder Device
keywords: Embolization; En bloc celiac axis resection; Pancreatic body cancer; Vascular plug