Preoperative embolization of replaced right hepatic artery prior to pancreaticoduodenectomy | Zendy

Cloyd Jordan M. | Zendy; Chandra Venita | Zendy; Louie John D. | Zendy; Rao Sekhar | Zendy; Visser Brendan C. | Zendy

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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.

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