Department of Radiology, Chugoku Rosai Hospital, 1-5-1 Hirotagaya, Kure, 737-0193, Japan.
Diagnostic Radiology, Kochi University, Kohasu, Okocho, Nankoku, Kochi, Japan.
Cardiovasc Intervent Radiol. 2019 Sep;42(9):1352-1357. doi: 10.1007/s00270-019-02233-6. Epub 2019 May 10.
We evaluated the usefulness of the Amplatzer vascular plug (AVP) for preoperative embolization before distal pancreatectomy with en bloc celiac axis resection (DP-CAR).
Between April 2010 and September 2017, 19 patients with locally advanced pancreatic body cancer underwent preoperative embolization of the common hepatic and the left gastric artery (CHA, LGA) with AVP or coils. We compared the embolization success rate, embolization-related complications, the time required for preoperative embolization before DP-CAR and the procedure costs in patients whose CHA was AVP- (n = 7) or coil (n = 12) embolized.
The success rate for preoperative AVP and coil embolization was 100% and 83.3%, respectively. The median procedure time was shorter in patients whose CHA was embolized with AVP than coils; the difference was not significant (p = 0.045). The total cost was significantly lower for AVP than coil embolization (p = 0.01).
The AVP is useful for the preoperative embolization of the CHA before DP-CAR.
我们评估了 Amplatzer 血管塞（AVP）在整块腹腔动脉切除的胰体尾切除术（DP-CAR）前用于远端胰腺切除术的术前栓塞的作用。
2010 年 4 月至 2017 年 9 月，19 例局部进展期胰体癌患者接受了 AVP 或线圈对肝总动脉和胃左动脉（CHA、LGA）的术前栓塞。我们比较了 CHA 用 AVP（n=7）或线圈（n=12）栓塞的患者的栓塞成功率、栓塞相关并发症、DP-CAR 前术前栓塞所需的时间和手术费用。
术前 AVP 和线圈栓塞的成功率分别为 100%和 83.3%。AVP 栓塞患者的手术时间中位数比线圈栓塞患者短；但差异无统计学意义（p=0.045）。AVP 栓塞的总费用明显低于线圈栓塞（p=0.01）。
AVP 可用于 DP-CAR 前 CHA 的术前栓塞。
