Document Detail


Percutaneous embolization of the pancreatic duct with cyanoacrylate tissue adhesive in disconnected duct syndrome.
MedLine Citation:
PMID:  12525595     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Traditionally, patients with chronic end-pancreatic fistulas caused by pancreatic necrosis have been treated with long-term percutaneous catheter drainage and/or surgical procedures such as resection or open drainage. With surgical treatment, the endocrine and exocrine functions of the removed pancreatic segment are sacrificed. Surgery in this patient population presents additional risks because of the inflammatory changes of pancreatitis and associated venous thromboses. The authors devised a method of percutaneous embolization of the pancreatic duct in a patient with catheter-dependent pancreatic fistula who wished to avoid surgery. The procedure was performed under fluoroscopic guidance with use of a microcatheter and wire system to access the duct, which was embolized with opacified n-butyl cyanoacrylate tissue adhesive. After 1 year of surveillance, the patient remains symptom-free. There has been no need for replacement of the drainage catheter and no further intervention has been performed.
Authors:
Laura K Findeiss; John Brandabur; L William Traverso; David H Robinson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  14     ISSN:  1051-0443     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2003 Jan 
Date Detail:
Created Date:  2003-01-14     Completed Date:  2003-07-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  107-11     Citation Subset:  IM    
Affiliation:
John H. Walker Center for Diagnostic Imaging, Virginia Mason Medical Center, Buck Pavilion, 5th Floor, 1100 Ninth Avenue, Seattle, Washington 98111, USA. radlkf@vmmc.org
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MeSH Terms
Descriptor/Qualifier:
Cholangiopancreatography, Endoscopic Retrograde
Cyanoacrylates*
Embolization, Therapeutic*
Humans
Male
Middle Aged
Pancreatic Ducts / radiography
Pancreatic Fistula / etiology,  radiography,  therapy*
Pancreatitis / complications*
Tomography, X-Ray Computed
Chemical
Reg. No./Substance:
0/Cyanoacrylates

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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