How to do it: endovascular stent and ligament resection during pancreaticoduodenectomy for coeliac axis stenosis in median arcuate ligament syndrome

To decrease complications associated with the treatment of coeliac axis (CA) stenosis due to median arcuate ligament (MAL) syndrome in pancreaticoduodenectomy, we performed combined preoperative endovascular stenting and intraoperative MAL resection. This technique can secure the CA blood flow to th...

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Bibliographic Details
Published in:ANZ journal of surgery 2021-12, Vol.91 (12), p.2824-2826
Main Authors: Shintakuya, Ryuta, Kohashi, Toshihiko, Nakashima, Akira, Oishi, Koichi, Honmyo, Naruhiko, Hihara, Jun, Kagawa, Eisuke, Mukaida, Hidenori
Format: Article
Language:English
Subjects:
Blood flow
Cardiovascular system
Complications
Compression
Constriction, Pathologic - surgery
Hepatic artery
Humans
Implants
Ligaments
Ligaments - surgery
Median Arcuate Ligament Syndrome - surgery
Pancreaticoduodenectomy
Pancreaticoduodenectomy - adverse effects
Restenosis
Stents
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Summary:To decrease complications associated with the treatment of coeliac axis (CA) stenosis due to median arcuate ligament (MAL) syndrome in pancreaticoduodenectomy, we performed combined preoperative endovascular stenting and intraoperative MAL resection. This technique can secure the CA blood flow to the hepatic artery before surgery in one stage and prevent CA restenosis and stent dislocation because there is no extrinsic compression of the CA after MAL resection.
ISSN:1445-1433
1445-2197
DOI:10.1111/ans.17007