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Preoperative embolization of replaced right hepatic artery prior to pancreaticoduodenectomy
Author(s) -
Cloyd Jordan M.,
Chandra Venita,
Louie John D.,
Rao Sekhar,
Visser Brendan C.
Publication year - 2012
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.23082
Subject(s) - medicine , pancreaticoduodenectomy , anastomosis , embolization , artery , pancreatic head , pancreas , gastroduodenal artery , radiology , surgery , general surgery
Aberrancy of the hepatic arterial anatomy is common. Because of its course directly adjacent to the head of the pancreas, a replaced right hepatic artery (RHA) is vulnerable to invasion by peri‐pancreatic malignancies. Division of the RHA at the time of pancreaticoduodenectomy, however, may result in hepatic infarction and/or bilioenteric anastomotic complications. We report two cases of patients undergoing preoperative embolization of tumor encased replaced RHAs to allow for sufficient collateralization prior to pancreaticoduodenectomy. J. Surg. Oncol. 2012; 106:509–512. © 2012 Wiley Periodicals, Inc.