Abstract
Splanchnic nerve block and radiofrequency ablation are performed for chronic intractable abdominal pain, cancer-related abdominal pain and it also serves as an alternative to celiac plexus block. This chapter provides a step-by-step guide on how to perform this intervention safely and shows all the relevant C-arm and needle positions that need to be demonstrated during the Fellow of Interventional Pain Practice (FIPP) exam administered by the World Institute of Pain (WIP). Both native and edited high-quality images are included, so the fluoroscopy anatomy is more easily understood.
Possible complications of the procedures and common reasons for failure at the FIPP exam are also outlined. Evidence for the procedure is provided based on the available literature reviewed by the Benelux section of WIP and also by the American Society of Interventional Pain Physicians (ASIPP).
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Suggested Reading
Chen M, et al. Clinical research of percutaneous bilateral splanchnic nerve lesion for pain relief in patients with pancreatic cancer under X-ray guidance. Int J Clin Exp Med. 2015;8:20092–6.
Lillemoe KD, et al. Chemical splanchnicectomy in patients with unresectable pancreatic cancer. A prospective randomized trial. Ann Surg. 1993;217:447–55; discussion 456–7.
Papadopoulos D, Kostopanagiotou G, Batistaki C. Bilateral thoracic splanchnic nerve radiofrequency thermocoagulation for the management of end-stage pancreatic abdominal cancer pain. Pain Physician. 2013;16:125–33.
Raj PP, Erdine S. Percutaneous block and lesioning of the splanchnic nerve. In: Raj PP, Erdine S, editors. Pain-relieving procedures – the illustrated guide. Wiley: Blackwell; 2012. p. 256–63.
Raj PP, Sahinler B, Lowe M. Radiofrequency lesioning of splanchnic nerves. Pain Pract. 2002;2:241–7.
Staats PS, Hekmat H, Sauter P, Lillemoe K. The effects of alcohol celiac plexus block, pain, and mood on longevity in patients with unresectable pancreatic cancer: a double-blind, randomized placebo-controlled study. Pain Medicine. 2001;2:28–34.
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The Thoracic Splanchnic block and radiofrequency ablation chapter was reviewed by Ricardo Placarte; Sandra van den Heuvel; Andrea M. Trescot; Milan Stojanovic; Peter S. Staats; Agnes R. Stogicza; Massimo Barbieri.
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Mansano, A.M. (2020). Splanchnic Block and Radiofrequency Ablation. In: Stogicza, A.R., Mansano, A.M., Trescot, A.M., Staats, P.S. (eds) Interventional Pain . Springer, Cham. https://doi.org/10.1007/978-3-030-31741-6_10
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DOI: https://doi.org/10.1007/978-3-030-31741-6_10
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