This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (1)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Topic Collections  • Angiology  • Alert me on articles by topic  Social Bookmarking   What's this?

Evaluation by Computed Tomography During Arteriography

Hiroyoshi Furukawa, MD; Ryoko Iwata, MD; Noriyuki Moriyama, MD; Tomoo Kosuge, MD

Arch Surg. 1999;134:1086-1090.

Hypothesis  Blood supply to the peripancreatic region is derived from the celiac and superior mesenteric arteries, complementary to each other.

Design  Cohort analytic study.

Setting  Tertiary care public hospital.

Patients and Methods  Computed tomography (CT) during superior mesenteric artery arteriography (SMAA-CT) and during celiac artery arteriography (CEAA-CT), in which a catheter tip was inserted into the common hepatic or gastroduodenal artery, was performed in 25 patients.

Main Outcome Measure  Distribution and correlation of these areas of marked enhancement on SMAA-CT and CEAA-CT were analyzed.

Results  The right cephalic part of the pancreatic head that is derived from the dorsal bud was enhanced on CEAA-CT, and the left caudal part of the pancreatic head that is derived from the ventral bud was enhanced on SMAA-CT. Blood supply to the intrapancreatic bile duct, including the ampulla of Vater, is derived from the CEA. The boundary between the areas of the duodenum supplied from the CEA and SMA was in the second or third portion.

Conclusion  The pancreatic head can be separated into 2 segments by the arterial supply, and each segment may be removed separately.

From the Departments of Diagnostic Radiology (Drs Furukawa, Iwata, and Moriyama) and Surgery (Dr Kosuge), National Cancer Center Hospital, Tokyo, Japan.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?