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Percutaneous Irreversible Electroporation of Locally Advanced Pancreatic Carcinoma Using the Dorsal Approach: A Case Report

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Abstract

Irreversible electroporation (IRE) is a novel image-guided ablation technique that is increasingly used to treat locally advanced pancreatic carcinoma (LAPC). We describe a 67-year-old male patient with a 5 cm stage III pancreatic tumor who was referred for IRE. Because the ventral approach for electrode placement was considered dangerous due to vicinity of the tumor to collateral vessels and duodenum, the dorsal approach was chosen. Under CT-guidance, six electrodes were advanced in the tumor, approaching paravertebrally alongside the aorta and inferior vena cava. Ablation was performed without complications. This case describes that when ventral electrode placement for pancreatic IRE is impaired, the dorsal approach could be considered alternatively.

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Conflict of interest

Hester J Scheffer, Marleen CAM Melenhorst, Jantien A Vogel, Aukje AJM van Tilborg, Karin Nielsen, Geert Kazemier and Martijn R Meijerink have no conflicts of interest to declare.

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Authors and Affiliations

  1. Department of Radiology and Nuclear Medicine, VU University Medical Center, de Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands

    Hester J. Scheffer, Marleen C. A. M. Melenhorst, Aukje A. J. M. van Tilborg & Martijn R. Meijerink

  2. Department of Surgery, Academic Medical Center, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands

    Jantien A. Vogel

  3. Department of Surgery, VU University Medical Center, de Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands

    Karin Nielsen & Geert Kazemier

Authors
  1. Hester J. Scheffer
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  2. Marleen C. A. M. Melenhorst
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  3. Jantien A. Vogel
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  4. Aukje A. J. M. van Tilborg
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  5. Karin Nielsen
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  6. Geert Kazemier
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  7. Martijn R. Meijerink
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Correspondence to Hester J. Scheffer.

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Scheffer, H.J., Melenhorst, M.C.A.M., Vogel, J.A. et al. Percutaneous Irreversible Electroporation of Locally Advanced Pancreatic Carcinoma Using the Dorsal Approach: A Case Report. Cardiovasc Intervent Radiol 38, 760–765 (2015). https://doi.org/10.1007/s00270-014-0950-x

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  • DOI: https://doi.org/10.1007/s00270-014-0950-x

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