The trial of transaortic celiac plexus block.
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概要
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The celiac plexus block by transaortic approach using transseptal needle (19G.) was applied to five patients who had been suffering from intracutable pain.A 7.2 French catheter was introduced percutaneously into the femoral artery by Seldinger technique passed through the aorta to the first lumbar vertebral level, puncture-needle (transseptal needle) was introduced by this catheter, piercing the aorta wall and needle-tip entered to peri-aortic region.Before neurolysis with absolute ethanol solution, we should be confirming the optimum spreading of radiopaque and lidocaine mixture as a test-block under fluoroscopy.No severe adverse reaction were encountered except for transient hopotension coincidence with the aorta wall puncture. We have obtained the 100% pain remission in five patients with 10-15ml of neurolytics.This novel procedure of celiac plexus block was considered to be useful for intracutable pain due to advanced hepatoma or post-transarterial embolization.
- 日本臨床麻酔学会の論文
日本臨床麻酔学会 | 論文
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