The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
Clinical Outcomes after Median Arcuate Ligament Release in Patients Responsive to Celiac Plexus Block
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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“Also, in a series of 28 patients who had pre-operative symptom relief after coeliac plexus blockade and underwent open CA release for MALS, 27 (96%) had immediate symptom relief after surgery.”
Citations
Cites
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Cited by
Koelemay, M. J., Geelkerken, R. H., Kärkkäinen, J., Leone, N., Antoniou, G. A., de Bruin, J. L., Gombert, A., Gottsätter, A., Iborra, E., Ronchey, S., et al. (2025) · European Journal of Vascular and Endovascular Surgery · doi:10.1016/j.ejvs.2025.06.010 · Cited by 123
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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