Bringing SASI back: Single session selective arterial secretin injection and transarterial embolization of intrahepatic pancreatic neuroendocrine metastasis in a MEN-1 patient

Bringing SASI back: Single session selective arterial secretin injection and transarterial embolization of intrahepatic pancreatic neuroendocrine metastasis in a MEN-1 patient

SASI (selective arterial secretin injection) is a form of ASVS (arterial stimulation and venous sampling) used to localize pancreatic gastrinomas. This report aims to review the protocol for SASI and demonstrate its utility in localizing functional and nonfunctional gastrinomas. Even if a patient ha...

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Main Authors: Jawad S. Hussain, MD, MS, Ravi N. Srinivasa, MD, Anthony Hage, BS, Rudra Pampati, MD, Jeffrey Forris Beecham Chick, MD, MPH, DABR
Format: Article
Language:English
Published: Elsevier 2018-04-01
Series:Radiology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043317305642
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spelling doaj-2102dd5e13784026a685d506e29a43a42020-11-24T21:43:43ZengElsevierRadiology Case Reports1930-04332018-04-01132333335Bringing SASI back: Single session selective arterial secretin injection and transarterial embolization of intrahepatic pancreatic neuroendocrine metastasis in a MEN-1 patientJawad S. Hussain, MD, MS0Ravi N. Srinivasa, MD1Anthony Hage, BS2Rudra Pampati, MD3Jeffrey Forris Beecham Chick, MD, MPH, DABR4Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, 1500 East Medical Center Dr, Ann Arbor, MI 48109, USADepartment of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, 1500 East Medical Center Dr, Ann Arbor, MI 48109, USA; Corresponding author.University of Michigan Medical School, 1301 Catherine St, Ann Arbor, MI 48109, USAUniversity of Michigan Medical School, 1301 Catherine St, Ann Arbor, MI 48109, USADepartment of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, 1500 East Medical Center Dr, Ann Arbor, MI 48109, USASASI (selective arterial secretin injection) is a form of ASVS (arterial stimulation and venous sampling) used to localize pancreatic gastrinomas. This report aims to review the protocol for SASI and demonstrate its utility in localizing functional and nonfunctional gastrinomas. Even if a patient has a pancreatic mass and a laboratory profile fitting a specific endocrine syndrome, these may or may not be associated as has been previously demonstrated with adrenal vein sampling. We present a case where a patient underwent simultaneous SASI and bland embolization of a hepatic metastasis to facilitate partial pancreatectomy for Zollinger-Ellison syndrome. Keywords: SASI, ASVS, Gastrinoma, Samplinghttp://www.sciencedirect.com/science/article/pii/S1930043317305642
collection DOAJ
language English
format Article
sources DOAJ
author Jawad S. Hussain, MD, MS
Ravi N. Srinivasa, MD
Anthony Hage, BS
Rudra Pampati, MD
Jeffrey Forris Beecham Chick, MD, MPH, DABR
spellingShingle Jawad S. Hussain, MD, MS
Ravi N. Srinivasa, MD
Anthony Hage, BS
Rudra Pampati, MD
Jeffrey Forris Beecham Chick, MD, MPH, DABR
Bringing SASI back: Single session selective arterial secretin injection and transarterial embolization of intrahepatic pancreatic neuroendocrine metastasis in a MEN-1 patient
Radiology Case Reports
author_facet Jawad S. Hussain, MD, MS
Ravi N. Srinivasa, MD
Anthony Hage, BS
Rudra Pampati, MD
Jeffrey Forris Beecham Chick, MD, MPH, DABR
author_sort Jawad S. Hussain, MD, MS
title Bringing SASI back: Single session selective arterial secretin injection and transarterial embolization of intrahepatic pancreatic neuroendocrine metastasis in a MEN-1 patient
title_short Bringing SASI back: Single session selective arterial secretin injection and transarterial embolization of intrahepatic pancreatic neuroendocrine metastasis in a MEN-1 patient
title_full Bringing SASI back: Single session selective arterial secretin injection and transarterial embolization of intrahepatic pancreatic neuroendocrine metastasis in a MEN-1 patient
title_fullStr Bringing SASI back: Single session selective arterial secretin injection and transarterial embolization of intrahepatic pancreatic neuroendocrine metastasis in a MEN-1 patient
title_full_unstemmed Bringing SASI back: Single session selective arterial secretin injection and transarterial embolization of intrahepatic pancreatic neuroendocrine metastasis in a MEN-1 patient
title_sort bringing sasi back: single session selective arterial secretin injection and transarterial embolization of intrahepatic pancreatic neuroendocrine metastasis in a men-1 patient
publisher Elsevier
series Radiology Case Reports
issn 1930-0433
publishDate 2018-04-01
description SASI (selective arterial secretin injection) is a form of ASVS (arterial stimulation and venous sampling) used to localize pancreatic gastrinomas. This report aims to review the protocol for SASI and demonstrate its utility in localizing functional and nonfunctional gastrinomas. Even if a patient has a pancreatic mass and a laboratory profile fitting a specific endocrine syndrome, these may or may not be associated as has been previously demonstrated with adrenal vein sampling. We present a case where a patient underwent simultaneous SASI and bland embolization of a hepatic metastasis to facilitate partial pancreatectomy for Zollinger-Ellison syndrome. Keywords: SASI, ASVS, Gastrinoma, Sampling
url http://www.sciencedirect.com/science/article/pii/S1930043317305642
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