title: Preoperative Embolization of the Celiac Axis or Common Hepatic Artery before Distal Pancreatectomy with Resection of the Celiac Axis.
abstract: Patients with locally advanced pancreatic cancer who undergo distal pancreatectomy with resection of the celiac axis (CA) are at risk for postoperative hepatic or gastric ischemia if collateral blood flow from the superior mesenteric artery (SMA) via the gastroduodenal artery is insufficient. This study presents a technique for preoperative angiographic evaluation of these collateral vessels by using an AMPLATZER Vascular Plug to temporarily occlude the CA or common hepatic artery while simultaneously performing digital subtraction angiography of the SMA. If collateral vessels are deemed sufficient, the plug can subsequently be released for permanent occlusion with the intent to enhance the blood flow in these collateral vessels.
authors.affiliation: Department of Diagnostic and Interventional Radiology, Rheinisch-Westfälische Technische Hochschule Aachen University Hospital, Pauwelsstrasse 30, D-52074 Aachen, Germany. Electronic address: mzimmermann@ukaachen.de.
authors.forename: Markus
authors.initials: M
authors.lastname: Zimmermann
authors.affiliation: Department of Diagnostic and Interventional Radiology, Rheinisch-Westfälische Technische Hochschule Aachen University Hospital, Pauwelsstrasse 30, D-52074 Aachen, Germany.
authors.forename: Martin
authors.initials: M
authors.lastname: Liebl
authors.affiliation: Department of Diagnostic and Interventional Radiology, Rheinisch-Westfälische Technische Hochschule Aachen University Hospital, Pauwelsstrasse 30, D-52074 Aachen, Germany.
authors.forename: Maximilian
authors.initials: M
authors.lastname: Schulze-Hagen
authors.affiliation: Department of Diagnostic and Interventional Radiology, Rheinisch-Westfälische Technische Hochschule Aachen University Hospital, Pauwelsstrasse 30, D-52074 Aachen, Germany.
authors.forename: Federico
authors.initials: F
authors.lastname: Pedersoli
authors.affiliation: Department of Diagnostic and Interventional Radiology, Rheinisch-Westfälische Technische Hochschule Aachen University Hospital, Pauwelsstrasse 30, D-52074 Aachen, Germany.
authors.forename: Jochen
authors.initials: J
authors.lastname: Pfeffer
authors.affiliation: Department of General Surgery, Rheinisch-Westfälische Technische Hochschule Aachen University Hospital, Pauwelsstrasse 30, D-52074 Aachen, Germany.
authors.forename: Maximilian
authors.initials: M
authors.lastname: Schmeding
authors.affiliation: Department of Diagnostic and Interventional Radiology, Rheinisch-Westfälische Technische Hochschule Aachen University Hospital, Pauwelsstrasse 30, D-52074 Aachen, Germany.
authors.forename: Peter
authors.initials: P
authors.lastname: Isfort
authors.affiliation: Department of Diagnostic and Interventional Radiology, Rheinisch-Westfälische Technische Hochschule Aachen University Hospital, Pauwelsstrasse 30, D-52074 Aachen, Germany.
authors.forename: Christiane K
authors.initials: CK
authors.lastname: Kuhl
authors.affiliation: Department of Diagnostic and Interventional Radiology, Rheinisch-Westfälische Technische Hochschule Aachen University Hospital, Pauwelsstrasse 30, D-52074 Aachen, Germany.
authors.forename: Philipp
authors.initials: P
authors.lastname: Bruners
mesh_terms: D000368:Aged; D015901:Angiography, Digital Subtraction; D002445:Celiac Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D003097:Collateral Circulation; D004386:Duodenum / Q000098:blood supply*; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D004867:Equipment Design; D005260:Female; D006499:Hepatic Artery / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D008102:Liver Circulation; D008297:Male; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging / Q000503:physiopathology; D008875:Middle Aged; D010180:Pancreatectomy / Q000009:adverse effects; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control; D013152:Splanchnic Circulation; D013270:Stomach / Q000098:blood supply*; D016896:Treatment Outcome