Cited by 12Abdominal vascular conditions and treatmentsVascular anomalies and interventionsRenal and Vascular Pathologies

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Clinical Outcomes after Median Arcuate Ligament Release in Patients Responsive to Celiac Plexus Block

Shnayder-Adams, Michelle M., Masotti, Maria, Sanogo, Mamadou L.·2024·Journal of Vascular and Interventional Radiology

Abstract

Purpose To determine if symptom relief with celiac plexus block (CPB) is associated with favorable clinical outcomes after median arcuate ligament release (MALR) surgery. Materials and methods A retrospective review was performed from January 2000 to December 2021. Fifty-seven patients (42 women, 15 men; mean age, 43 years [range, 18-84 years]) with clinical and radiographic features suggestive of median arcuate ligament syndrome (MALS) underwent computed tomography (CT)-guided percutaneous CPB for suspected MALS. Clinical outcomes of CPB and MALR surgery were correlated. Adverse events were classified according to the Society of Interventional Radiology (SIR) guidelines. Results CT-guided percutaneous CPB was successfully performed in all 57 (100%) patients with suspected MALS. A cohort of 38 (67%) patients showed clinical improvement with CPB. A subset of 28 (74%) patients in this group subsequently underwent open MALR surgery; 27 (96%) responders to CPB showed favorable clinical outcomes with surgery. There was 1 (4%) CPB-related mild adverse event. There were no moderate, severe, or life-threatening adverse events. Conclusions Patients who responded to CPB were selected to undergo surgery, and 96% of them improved after surgery.

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Cited by

Metadata

Authors
Shnayder-Adams, M. M., Masotti, M., & Sanogo, M. L.
Affiliations
University of Michigan (US)
Corresponding author
Sanogo, Mamadou L.
Venue
Journal of Vascular and Interventional Radiology
Publisher
Elsevier BV
Published
2024-04
Volume
35
Issue
4
Pages
558-562
ISSN
1051-0443 (ISSN-L)
OpenAlex
W4390561910
Cited by
12
References
1
Citations by year
2026: 3 · 2025: 7 · 2024: 2
FWCI
5.05
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Vascular and Interventional Radiology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
  • Health Sciences › Medicine › Surgery › Vascular anomalies and interventions
  • Health Sciences › Medicine › Nephrology › Renal and Vascular Pathologies
Keywords
median arcuate ligament syndrome, celiac plexus block, median arcuate ligament release, surgical outcomes, symptom relief, patient selection for surgery, adverse events
MeSH terms
Median Arcuate Ligament Syndrome, Adult, Celiac Artery, Celiac Plexus, Female, Humans, Ligaments, Male, Decompression, Surgical

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