Table of Contents
What is a celiac plexus block?
A celiac plexus block relieves severe abdominal pain caused by pancreatic cancer. It’s a type of nerve destruction that stops the celiac plexus nerves in the abdomen from sending pain signals to the brain. Some varieties of celiac plexus block provide temporary pain relief, while others offer long-term relief.
What type of nerve is celiac plexus?
The celiac plexus is a part of the sympathetic nervous system, and is connected to multiple organs in the abdomen, including the pancreas, gallbladder, liver, kidneys, stomach, spleen and intestines.
What is the CPT code for celiac plexus block?
Group 1
| Code | Description |
|---|---|
| 64530 | INJECTION, ANESTHETIC AGENT; CELIAC PLEXUS, WITH OR WITHOUT RADIOLOGIC MONITORING |
| 64620 | DESTRUCTION BY NEUROLYTIC AGENT, INTERCOSTAL NERVE |
| 64640 | DESTRUCTION BY NEUROLYTIC AGENT; OTHER PERIPHERAL NERVE OR BRANCH |
| 64999 | UNLISTED PROCEDURE, NERVOUS SYSTEM |
Where is the celiac plexus?
The celiac plexus (CP) is deeply located in the retroperitoneum, overlying the anterolateral surface of the aorta, at the level of the celiac trunk (CeT), comprising a dense network of ganglia that varies considerably in size, number and positioning(6-13).
What level is celiac plexus block?
Located in the retroperitoneum just inferior to the celiac trunk and along the bilateral anterolateral aspects of the aorta, between the levels of T12-L1 disc space and L2, the celiac plexus can easily be reached by several different approaches. Most commonly, anterior or posterior approaches are chosen.
What is celiac plexus neurolysis?
Celiac plexus neurolysis (CPN) is a technique that can potentially improve pain control in pancreatic cancer while preventing further escalation of opioid consumption. CPN is performed by injecting absolute alcohol into the celiac plexus neural network of ganglia.
Who performs celiac plexus blocks?
Celiac plexus blocks are typically performed in an outpatient setting by an interventional radiologist. In most cases, the procedure can be completed in less than 30 minutes.
What makes up the celiac plexus?
The celiac plexus consists of celiac, superior mesenteric, and renal ganglia found surrounding the roots of the celiac trunk, superior mesenteric, and renal arteries. For their paraaortic location, these ganglia are also called prevertebral (paraaortic) ganglia.
What is plexus block?
Plexus Block is a dietary supplement providing natural ingredients, clinically-tested to work immediately to block up to 48 percent of the absorption of carbs and sugars during digestion. Block is a convenient and safe way to help prevent the body from absorbing up to 48% of carbs and sugars too quickly.*
Are you sedated for a celiac plexus block?
Will I be “put out” for the celiac plexus block? No. This procedure is done under local anesthesia. Most of the patients also receive some sedation, which makes the procedure easy to tolerate.
How long does a celiac plexus block take?
During Your Procedure Your doctor will use x-rays to guide the needle with the block. They will then inject the medication into the area of your celiac plexus. Your doctor will remove the needle and place a bandage (Band-Aid®) on the site. Your procedure will take about 90 minutes.