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A NovelModified Retrocrural Approach for Celiac Plexus Block: The Single-Needle Retroaortic Technique
  1. Mihir M. Kamdar, MD*,
  2. David A. Edwards, MD*,
  3. Ashraf M. Thabet, MD†,
  4. Shane J. Volney, MD* and
  5. James P. Rathmell, MD*
  1. From the *Department of Anesthesia, Critical Care and Pain Medicine, and †Department of Radiology, Massachusetts General Hospital, Boston, MA
  1. Address correspondence to: Mihir M. Kamdar, MD, Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, 15 Parkman St, WACC 340, Boston, MA 02114 (e-mail: MMKAMDAR{at}mgh.harvard.edu).

Abstract

Abstract For patients with pain from upper abdominal malignancies, celiac plexus neurolysis can provide an effective means of pain control. However, there are instances when traditionally described percutaneous approaches may not be technically feasible. We describe here the successful use of a novel single-needle retroaortic approach as an alternative approach to celiac plexus neurolysis.

We present 4 cases of patients with pain from upper abdominal malignancies in whom we performed celiac plexus neurolysis using a novel single-needle retroaortic approach. All 4 patients had significant pain relief and no significant adverse effects from the retroaortic approach.

https://doi.org/10.1097/AAP.0000000000000290

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    Footnotes

    • The authors declare no conflict of interest.

      Presented in part at the Spring 2013 meeting of the American Society of Regional Anesthesia and Pain Medicine 38th Annual Regional Anesthesia and Acute Pain Medicine Meeting, May 2–5, 2013, in Boston, Massachusetts.