Ekici Y, Tezcaner T, Aydın HO, Boyvat F, Moray G. Arterial complication of irreversible electroporation procedure for locally advanced pancreatic cancer. World J Gastrointest Oncol 2016; 8(10): 751-756 [PMID: 27795815 DOI: 10.4251/wjgo.v8.i10.751]
Corresponding Author of This Article
Yahya Ekici, MD, Professor, Department of General Surgery, Medical Faculty of Baskent University, 06490 Ankara, Turkey. dryahyaekici@gmail.com
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Oncol. Oct 15, 2016; 8(10): 751-756 Published online Oct 15, 2016. doi: 10.4251/wjgo.v8.i10.751
Arterial complication of irreversible electroporation procedure for locally advanced pancreatic cancer
Yahya Ekici, Tugan Tezcaner, Hüseyin Onur Aydın, Fatih Boyvat, Gökhan Moray
Yahya Ekici, Tugan Tezcaner, Hüseyin Onur Aydın, Gökhan Moray, Department of General Surgery, Medical Faculty of Baskent University, 06490 Ankara, Turkey
Fatih Boyvat, Department of Radiology, Medical Faculty of Baskent University, 06490 Ankara, Turkey
Author contributions: Ekici Y, Tezcaner T and Boyvat F performed the operation; Aydın HO analyzed the data; Ekici Y and Tezcaner T wrote the paper; and Moray G done the critical view.
Institutional review board statement: This study was approved by Institutional Ethical Committee for Clinical research.
Informed consent statement: Informed consent was obtained from the patient.
Conflict-of-interest statement: The authors declare that there was no conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Yahya Ekici, MD, Professor, Department of General Surgery, Medical Faculty of Baskent University, 06490 Ankara, Turkey. dryahyaekici@gmail.com
Telephone: +90-533-3665676 Fax: +90-312-2234909
Received: March 29, 2016 Peer-review started: April 3, 2016 First decision: May 17, 2016 Revised: June 8, 2016 Accepted: August 15, 2016 Article in press: August 17, 2016 Published online: October 15, 2016
Abstract
Irreversible electroporation (IRE) is a non-thermal ablation technique used especially in locally advanced pancreatic carcinomas that are considered surgically unresectable. We present the first case of acute superior mesenteric artery (SMA) occlusion secondary to pancreatic IRE procedure that has not been reported before in the literature. A 66-year-old man underwent neoadjuvant chemoradiotherapy for locally advanced pancreatic ductal adenocarcinoma. IRE procedure was applied to the patient during laparotomy under general anesthesia. After finishing the procedure, an acute intestinal ischemia was detected. A conventional vascular angiography was performed and a metallic stent was successfully placed to the SMA and blood flow was maintained. It is important to be careful in such cases of tumor involvement of SMA when evaluating for IRE procedure of pancreatic tumor.
Core tip: Irreversible electroporation (IRE) is a non-thermal ablation technique is a hope for patients who have unresectable locally advanced pancreatic carcinomas; especially, when any vascular surgical approach is impossible because of the tumor involvement. We encountered superior mesenteric artery occlusion after IRE procedure for locally advanced pancreatic cancer. We suggest that treating physicians should keep in mind that kind of mortal vascular complications of IRE. Stent placement via angiography could be the lifesaving treatment choice for vascular occlusions due to IRE procedure.
