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Preoperative Coil Embolization in Patients With a Replaced Hepatic Artery Scheduled for Pancreatectomy With Splanchnic Artery Resection Helps to Prevent Ischemic Organ Injury

Ishikawa, Masaki MD, PhD*; Yamagami, Takuji MD, PhD; Kakizawa, Hideaki MD, PhD; Hieda, Masashi MD, PhD§; Toyota, Naoyuki MD, PhD; Fukumoto, Wataru MD; Kajiwara, Kenji MD; Yoshimatsu, Rika MD, PhD; Sudo, Takeshi MD, PhD#; Murakami, Yoshiaki MD, PhD**; Awai, Kazuo MD, PhD††

Journal of Computer Assisted Tomography: January/February 2016 - Volume 40 - Issue 1 - p 172–176
doi: 10.1097/RCT.0000000000000325
Abdominal Imaging
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Objective 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.

Methods 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.

Results 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.

Conclusions 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: masaishi@hiroshima-u.ac.jp).

The authors declare no conflict of interest.

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