Endovascular stenting of mesenterico-portal vein stenosis to reduce blood flow through venous collaterals prior to pancreatoduodenectomy.
Langenbecks Arch Surg
; 400(5): 629-31, 2015 Jul.
Article
em En
| MEDLINE
| ID: mdl-25998372
ABSTRACT
BACKGROUND:
When the mesenterico-portal vein is stenosed due to tumor related compression, venous collaterals develop and flow occurs antegrade towards the portal vein through the collateral tributaries. Undertaking pancreatoduodenectomy for pancreatic cancer in this setting may result in significant blood loss during the process of ligation of these tributaries. DESCRIPTION OF TECHNIQUE We describe the technique of endovascular stenting of the mesenterico-portal vein to reduce flow within these collateral tributaries and hence blood loss, to facilitate extended pancreatoduodenectomy and vein resection.CONCLUSION:
Percutaneous transhepatic placement of endovascular stent into a stenotic mesentero-portal vein facilitates pancreatoduodenectomy by reducing operative time, which would otherwise be required in dealing with the extensive venous collaterals and hence also reducing blood loss.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Pancreáticas
/
Veia Porta
/
Stents
/
Pancreaticoduodenectomia
/
Procedimentos Endovasculares
/
Veias Mesentéricas
Limite:
Humans
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article