EUS Guided Celiac Plexus Neurolysis скачать в хорошем качестве

EUS Guided Celiac Plexus Neurolysis

Celiac plexus neurolysis (CPN), bilateral injection, for two patients with pancreatic head mass. Try to avoid the aberrant left inferior phrenic artery if it traverses the needle pass, as in the second case. 1- Alcohol concentration should be between 95-100%. 2- Bupivacaine is long acting but lidocaine injection was prescribed in some articles. A small amount of analgesic (2 mL of 2% lidocaine) was administered, followed by injection of 98% alcohol solution. This was performed three times: twice on either side of the aorta and 1 directy to the celiac plexus. 3- We use FNA 22 g needles in both cases. More easy to inject with FNA 19 g needle. If you use 22 g needle, then use 5 ml "syringes" will be easier than 10 or 20 syringes. Fenestrated tip needle was not available, I think no big difference!