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

Jawad S. Hussain, MD, MS; Ravi N. Srinivasa, MD; Anthony Hage, BS; Rudra Pampati, MD; Jeffrey Forris Beecham Chick, MD, MPH, DABR

Radiology Case Reports (Apr 2018)

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

Jawad S. Hussain, MD, MS,
Ravi N. Srinivasa, MD,
Anthony Hage, BS,
Rudra Pampati, MD,
Jeffrey Forris Beecham Chick, MD, MPH, DABR

Affiliations

Jawad S. Hussain, MD, MS: Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, 1500 East Medical Center Dr, Ann Arbor, MI 48109, USA
Ravi N. Srinivasa, MD: Department 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.
Anthony Hage, BS: University of Michigan Medical School, 1301 Catherine St, Ann Arbor, MI 48109, USA
Rudra Pampati, MD: University of Michigan Medical School, 1301 Catherine St, Ann Arbor, MI 48109, USA
Jeffrey Forris Beecham Chick, MD, MPH, DABR: Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, 1500 East Medical Center Dr, Ann Arbor, MI 48109, USA

Journal volume & issue: Vol. 13, no. 2
pp. 333 – 335

Abstract

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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

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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