The aim of this study was to evaluate the prevention of liver ischemic injury by preoperative coil embolization in patients with a replaced hepatic artery scheduled for pancreatectomy with splanchnic artery resection.
Between July 2009 and May 2012, 4 patients with replaced hepatic artery underwent pancreatectomy plus splanchnic artery resection. The replaced right hepatic artery was preoperatively embolized in 2 patients. In the other 2 patients, the common hepatic artery was embolized preoperatively. We evaluated the complications encountered in the perioperative period.
There were no embolization-related complications. Although 2 patients presented with small liver infarcts, the aspartate aminotransferase and alanine aminotransferase levels did not exceed 1000 IU/L in any of the patients, and none experienced severe liver injury.
Coil embolization before pancreatectomy with splanchnic artery resection in patients with a replaced hepatic artery may help to prevent severe ischemic liver injury in the perioperative period.
From the *Department of Diagnostic Radiology, Hiroshima University Hospital, Hiroshima; †Department of Radiology, Kochi University Medical School, Nankoku; ‡Department of Radiology, Hiroshima Red Cross Hospital & Atomic-bomb Survivors Hospital, Hiroshima; §Department of Radiology, Hiroshima City Hospital, Hiroshima; ∥Department of Radiology, National Hospital Organization, Kure Medical Center, Kure; ¶Department of Diagnostic Radiology, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima; #Department of Surgery, Hiroshimakinen Hospital, Hiroshima; and Departments of **Surgery, Applied Life Sciences, and ††Diagnostic Radiology, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.
Received for publication April 24, 2015; accepted July 20, 2015.
Correspondence to: Masaki Ishikawa, MD, PhD, Department of Diagnostic Radiology, Hiroshima University Hospital, 1-2-3 Kasumi, Minami-ku, Hiroshima City 734-8551, Japan (e-mail: email@example.com).
The authors declare no conflict of interest.