Feasibility of a dual microcatheter-dual interlocking detachable coil technique in preoperative embolization in preparation for distal pancreatectomy with en bloc celiac axis resection for locally advanced pancreatic body cancer
Feasibility of a dual microcatheter-dual interlocking detachable coil technique in preoperative embolization in preparation for distal pancreatectomy with en bloc celiac axis resection for locally advanced pancreatic body cancer
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DOI：
10.1007/s00534-011-0455-9
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发表时间：
2012-07-01
影响因子：
3
通讯作者：
Shirato, Hiroki
中科院分区：
文献类型：
--
作者：
Abo, Daisuke;Hasegawa, Yu;Shirato, Hiroki
探讨双微导管-双联锁可拆卸线圈（DMDI）技术在肝总动脉（CHA）术前栓塞的可行性，为局部晚期胰腺小体癌远端胰切除术联合腹腔轴切除术（DP-CAR）做准备。2007年1月至2009年12月，26例患者采用DMDI技术栓塞CHA。我们将结果与1998年8月至2007年2月间采用常规技术栓塞CHA的37例患者进行比较。使用DMDI技术，没有线圈移动或其他栓塞相关并发症发生。成功率为100%。DMDI栓塞组栓塞相关并发症发生率（0%）明显低于常规栓塞组（24.3%）（P = 0.008）。DMDI栓塞组在DP-CAR过程中因栓塞物定位不当而需要移除的频率（10%）明显低于常规栓塞组（37.5%）（P = 0.044）。DMDI技术允许侧支通路的发展，减少外科医生结扎远端CHA的负担，并防止线圈迁移。基于这些原因，我们认为该技术是可行的，可以栓塞CHA，为局部晚期胰腺体癌的DP-CAR治疗做准备。
To describe the feasibility of a dual microcatheter-dual interlocking detachable coil (DMDI) technique for preoperative embolization of the common hepatic artery (CHA) in preparation for distal pancreatectomy with en bloc celiac axis resection (DP-CAR) for locally advanced pancreatic body cancer.From January 2007 to December 2009, 26 patients underwent embolization of the CHA by the DMDI technique. We compared the results with those of 37 patients in whom the CHA was embolized by conventional techniques from August 1998 to February 2007.With the DMDI technique, no coil migration or other embolization-related complications occurred. The success rate was 100%. The rate of embolization-related complications was significantly lower in the DMDI embolization group (0%) than in the conventional embolization group (24.3%) (P = 0.008). The frequency of improper positioning of the embolic material necessitating its removal during DP-CAR was significantly lower in the DMDI embolization group (10%) than in the conventional embolization group (37.5%) (P = 0.044).The DMDI technique allows the development of collateral pathways, reduces the surgeon's burden in ligating the distal CHA, and prevents coil migration. For these reasons, we believe that this technique is feasible for embolization of the CHA in preparation for DP-CAR for locally advanced pancreatic body cancer.