Severe complications with irreversible electroporation of the pancreas in the presence of a metallic stent: a warning of a procedure that never should be performed.
Christopher Månsson, Anders Nilsson, Britt-Marie Karlson
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引用次数: 40
Abstract
Irreversible electroporation (IRE) is an ablation technique that is being investigated as a potential treatment of pancreatic cancer. However, many of these patients have a metallic stent in the bile duct, which is recognized as a contraindication for IRE ablation. We report a case in which an IRE ablation in the region of the pancreatic head was performed on a patient with a metallic stent which led to severe complications. After the treatment, the patient suffered from several complications including perforation of the duodenum and transverse colon, and bleeding from a branch of the superior mesenteric artery which eventually lead to her death. Therefore, we believe it is important to be aware of this if an IRE ablation close to a metallic stent is considered.
期刊介绍:
Under the editorial leadership of Professor Arnulf Skjennald MD and a distinguished editorial board, Acta Radiologica Open, formerly Acta Radiologica Short Reports, aims for the prompt publication of original case reports, short reports, review articles, pictorial reviews, research articles on diagnostic and interventional radiology, clinical radiology, experimental investigations in animals, and all other research related to imaging procedures. Acta Radiologica Open provides a complete update on all radiological specialties and technical utilities, as well as physiology and physics related to imaging, including ultrasonography, computed tomography, radionuclide and magnetic resonance imaging. Acta Radiologica Open publishes articles on diagnostic and interventional procedures in radiology based on all medical imaging techniques, as well as works in physiology and physics when related to radiology. The journal is an online-only, peer reviewed, open access journal.