|Year : 2022 | Volume
| Issue : 3 | Page : 168
Ideal radiocontrast pattern during celiac plexus alcohol neurolysis
Department of Neurosciences, Artemis Hospital, Gurgaon, Haryana, India
|Date of Web Publication||21-Nov-2022|
Dr. Ashish Chakravarty
Department of Neurosciences, Artemis Hospital, Sector 51, Gurgaon - 122 001, Haryana
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Chakravarty A. Ideal radiocontrast pattern during celiac plexus alcohol neurolysis. Indian J Pain 2022;36:168
Celiac plexus neurolysis is an established interventional procedure for management of chronic abdominal pain of malignant origin., Proper spread of radiocontrast prior to injection of the neurolytic solution can predict the success of the procedure and long-lasting pain relief.
Spread of the radiocontrast in all four quadrants around the celiac trunk has the highest predictability of long-term pain relief. However, such a spread is rare in routine practice.
The objective of this manuscript is to demonstrate ideal four-quadrant radiocontrast spread during celiac plexus alcohol neurolysis [Figure 1].
|Figure 1: (a) Initial spread upon injection of 3 ml radio contrast. The needle position is evidently inferior to the coeliac trunk. Radio contrast tending to encircle the coeliac trunk uniformly. (b) Final spread upon injection of 5ml of the radiocontrast in all four quadrants around coeliac trunk. (c) Lateral view demonstrating spread of radiocontrast ventral to the aorta|
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