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Semin intervent Radiol 2022; 39(02): 138-141
DOI: 10.1055/s-0042-1745762
Review Article

Celiac Plexus Cryoneurolysis

Aron Chary
1   MidSouth Imaging, Vascular Interventional Physicians, Memphis, Tennessee
,
Faramarz Edalat
2   Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia
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Abstract

Intractable, chronic abdominal pain from upper abdominal malignant and benign diseases is a significant challenge for healthcare providers and burden on the healthcare system. While opioid analgesics are commonly used to provide pain relief, the adverse effects of chronic opioid use cannot be overlooked. Celiac plexus neurolysis via chemical or thermal means represents an alternative minimally invasive approach to provide palliative pain relief and increase patients' quality of life. Through the use of computed tomography guidance, celiac plexus neurolysis can be performed by accurately targeting the celiac plexus, while minimizing risks to adjacent structures. Historically, celiac plexus neurolysis was performed via instillation of ethanol or phenol; however, within the past decade cryoablation has gained increasing use with potentially fewer side effects.

Keywords

celiac plexus - malignancy - cryoablation - neurolysis - pain management - interventional radiology


Publication History

Article published online:
30 June 2022

© 2022. Thieme. All rights reserved.

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