CT Guided Celiac Plexus and Splanchnic Nerve Neurolysis: The Modified Anterior Approach.
10.3348/jkrs.1997.37.1.115
- Author:
Jeong Min LEE
1
;
Mi Suk LEE
;
Seong Hee YM
;
Jin Hee LEE
Author Information
1. Department of Diagnostic Radiology, Namwon Medical Center.
- Publication Type:Original Article
- Keywords:
Anesthesia;
Nerves, CT;
Nerves system, effects of drugs on
- MeSH:
Anesthesia;
Celiac Plexus*;
Ganglia, Sympathetic;
Needles;
Nerve Block;
Pain, Intractable;
Splanchnic Nerves*
- From:Journal of the Korean Radiological Society
1997;37(1):115-118
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Since it was first described by Kappis, celiac plexus neurolysis (CPN) has been performed under fluoroscopic guidance by anesthetists or surgeons for the relief of intractable pain caused by upper abdominal malignancy. Recently, however, several groups have reported a computed tomography (CT)-guided technique that increased the safety of the blocking procedure and improved its results. The authors present a new technique CT-guided celiac plexus and splanchic nerve block, to be used simultaneously with a modified anterior approach. Using CT to guide needle tip placement, an anterior approach that permitted direct neurolysis of the celiac ganglia and splanchnic nerve was developed.
