BACKGROUND AND OBJECTIVES: Neurolytic celiac plexus block is often performed for analgesia from pancreatic cancer, but it is not known if the cancer alters the anatomy relevant to the successful performance of retrocrural celiac plexus block. METHODS: Abdominal computed tomographic scans were used to simulate retrocrural celiac plexus block in patients with and without pancreatic cancer. RESULTS: Simulated right-sided needle placement in the retrocrural space was more likely to fail in patients with pancreatic cancer than in patients without cancer. Such predicted failure often occurred when the cross-sectional area of the right retrocrural space was less than 1.0 cm2. CONCLUSIONS: The predicted success of stimulated retrocrural celiac plexus block differed between patients with and without pancreatic cancer. These findings have implications for the performance of celiac plexus block.
BACKGROUND AND OBJECTIVES: Neurolytic celiac plexus block is often performed for analgesia from pancreatic cancer, but it is not known if the cancer alters the anatomy relevant to the successful performance of retrocrural celiac plexus block. METHODS: Abdominal computed tomographic scans were used to simulate retrocrural celiac plexus block in patients with and without pancreatic cancer. RESULTS: Simulated right-sided needle placement in the retrocrural space was more likely to fail in patients with pancreatic cancer than in patients without cancer. Such predicted failure often occurred when the cross-sectional area of the right retrocrural space was less than 1.0 cm2. CONCLUSIONS: The predicted success of stimulated retrocrural celiac plexus block differed between patients with and without pancreatic cancer. These findings have implications for the performance of celiac plexus block.
Authors: Gabriela Augusta Mateus Pereira; Paulo Tadeu Campos Lopes; Ana Maria Pujol Vieira Dos Santos; Adriane Pozzobon; Rodrigo Dias Duarte; Alexandre da Silveira Cima; Ângela Massignan Journal: Radiol Bras Date: 2014 Sep-Oct
Authors: István Molnár; Gabriella Hegyi; Lajos Zsom; Christine Saahs; Jan Vagedes; Gábor Kapócs; Zoltán Kovács; Martin-Günther Sterner; Henrik Szőke Journal: J Pain Res Date: 2019-01-14 Impact factor: 3.133