Purpose: To report the successful endovascular embolization of a pancreaticoduodenal aneurysm (PDA).
Case Report: A 56-year-old man with a history of pancreatitis presented with insidious, progressive epigastric pain for the preceding 6 months. Contrast-enhanced computed tomography (CT) and selective hepatic digital subtraction angiography identified a 7.7-cm aneurysm that arose from the pancreaticoduodenal branch of the gastroduodenal artery. Through a percutaneous common femoral approach, 10 stainless steel coils were delivered to occlude the aneurysm. A single coil detached and became lodged in a small branch of the right hepatic artery without sequelae. At 26 months, duplex and CT scans show continued occlusion of the aneurysm.
Conclusions: Transcatheter coil embolization should be the first choice treatment for aneurysms of the pancreaticoduodenal artery.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1177/152660280200900216 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Glue in Lockdown Technique to Embolize Peripheral Arterial Aneurysms.
J Nippon Med Sch
January 2025
Department of Radiology, Nippon Medical School.
As a blood flow control technique for embolization using glue (n-butyl cyanoacrylate; NBCA) for peripheral artery aneurysm/pseudoaneurysm, we placed a vascular plug or coils at the proximal inflow vessel before glue injection. We describe this maneuver, which we call the glue in lockdown technique. Four peripheral aneurysms-two pulmonary artery pseudoaneurysms, one pancreaticoduodenal arcade pseudoaneurysm, and one internal iliac artery aneurysm-deemed unsuitable for conventional embolization because of abnormal blood flow, coagulopathy, or anatomical complexity were embolized with our technique.
View Article and Find Full Text PDFTitle: Is Celiac Trunk Revascularization Necessary After High-Flow Pancreaticoduodenal Arterial Arcades Aneurysm Retrograde Embolization?
J Clin Med
November 2024
Medical Imaging Department, Henri Mondor University Hospital Assistance Publique-Hôpitaux de Paris, 51 Avenue du Maréchal de Lattre de Tassigny, 94010 Créteil, France.
High-flow pancreaticoduodenal artery (PDA) aneurysms secondary to celiac trunk occlusion or stenosis have a high risk of rupture. Embolization offers a less invasive alternative to surgery. We evaluated the effectiveness and safety of retrograde embolization via the superior mesenteric artery of high-flow PDA aneurysms without celiac trunk revascularization.
View Article and Find Full Text PDFEndovascular repair and management of a ruptured inferior pancreaticoduodenal artery aneurysm: A case report and literature review.
J Vasc Surg Cases Innov Tech
February 2025
Division of Vascular Surgery, Department of Surgery, The Mount Sinai Medical Center, New York, NY.
Inferior pancreaticoduodenal artery aneurysm (IPDA) with the stenosis of the celiac axis is rare and may cause rupture. A unique etiology of IPDAs with celiac stenosis is median arcuate ligament syndrome. These aneurysms develop as a result of the dilation of the arteries from the retrograde blood flow into the pancreaticoduodenal arches because of celiac artery compression by the median arcuate ligament.
View Article and Find Full Text PDFPancreaticoduodenal Artery Aneurysm in a Patient with Celiac Artery Atresia.
Ann Vasc Surg
November 2024
Division of Vascular and Endovascular Surgery, St. Elizabeth's Medical Center, Boston University School of Medicine, Boston, MA. Electronic address:
Article Synopsis
- - A case study outlines the treatment of a rare pancreaticoduodenal artery aneurysm (PDAA) in a 60-year-old woman with a unique anatomy—she had a hypoplastic celiac artery and blood supply coming from a dilated superior mesenteric artery.
- - The patient underwent open surgical reconstruction, which involved resecting the PDAA and reconstructing the pancreaticoduodenal artery, leading to successful blood flow restoration during and after surgery.
- - The surgical intervention was effective; the patient recovered well and was discharged five days post-op with normal liver function tests, indicating a promising management strategy for similar cases.
Laparoscopic median arcuate ligament release using an anterior approach for median arcuate ligament syndrome.
Ann Gastroenterol Surg
November 2024
Division of Gastroenterological, Hepato-Biliary-Pancreatic, Transplantation and Pediatric Surgery, Department of Surgery Shinshu University School of Medicine Nagano Japan.
Median arcuate ligament syndrome (MALS) is a rare condition characterized by nonspecific symptoms, such as abdominal pain, nausea, and vomiting. Furthermore, the development and rupture of pancreaticoduodenal artery aneurysms pose a potentially fatal risk. Median arcuate ligament release (MALR) is useful in the treatment of MALS, with most procedures performed laparoscopically.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!