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
Thrombosis research2018Vol. 13pp. 333-335
151
ms2018radiologybringing
Abstract
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