Journal
ACTA RADIOLOGICA OPEN
Volume 3, Issue 11, Pages -Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/2047981614556409
Keywords
IRE; irreversible electroporation; pancreatic cancer; metallic stent; bowel perforation; bleeding; artery injury
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Irreversible electroporation (IRE) is an ablation technique that is being investigated as a potential treatment of pancreatic cancer. However, many of these patients have a metallic stent in the bile duct, which is recognized as a contraindication for IRE ablation. We report a case in which an IRE ablation in the region of the pancreatic head was performed on a patient with a metallic stent which led to severe complications. After the treatment, the patient suffered from several complications including perforation of the duodenum and transverse colon, and bleeding from a branch of the superior mesenteric artery which eventually lead to her death. Therefore, we believe it is important to be aware of this if an IRE ablation close to a metallic stent is considered.
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