Månsson Christopher, Nilsson Anders, Karlson Britt-Marie
Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
Department of Radiology, Oncology and Radiation Sciences, Uppsala University, Uppsala, Sweden.
Acta Radiol Short Rep. 2014 Dec 3;3(11):2047981614556409. doi: 10.1177/2047981614556409. eCollection 2014 Dec.
Irreversible electroporation (IRE) is an ablation technique that is being investigated as a potential treatment of pancreatic cancer. However, many of these patients have a metallic stent in the bile duct, which is recognized as a contraindication for IRE ablation. We report a case in which an IRE ablation in the region of the pancreatic head was performed on a patient with a metallic stent which led to severe complications. After the treatment, the patient suffered from several complications including perforation of the duodenum and transverse colon, and bleeding from a branch of the superior mesenteric artery which eventually lead to her death. Therefore, we believe it is important to be aware of this if an IRE ablation close to a metallic stent is considered.
不可逆电穿孔（IRE）是一种正在作为胰腺癌潜在治疗方法进行研究的消融技术。然而，这些患者中有许多人在胆管中置入了金属支架，这被认为是IRE消融的禁忌症。我们报告了一例对一名带有金属支架的患者在胰头区域进行IRE消融的病例，该消融导致了严重并发症。治疗后，患者出现了多种并发症，包括十二指肠和横结肠穿孔，以及肠系膜上动脉分支出血，最终导致患者死亡。因此，我们认为，如果考虑在靠近金属支架处进行IRE消融，认识到这一点很重要。
