Celiac injury due to arcuate ligament: an endovascular approach.

Cardiovasc Intervent Radiol

Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza, "-University of Rome, Viale Regina Elena 324, 00161 Rome, Italy.

Published: June 2013

Celiac trunk injures are rare events, with high mortality rates and difficult management. Endovascular treatment may be considered to avoid bleeding. We report a case of severe bleeding in a 37-year-old man resulting from celiac trunk stretching after a motorcycle crash. Because direct celiac trunk catheterization was not possible, a retrograde catheterization of the common hepatic artery was performed via the superior mesenteric artery. Two vascular plugs (type IV) were released, and the exclusion of the celiac trunk origin was completed with the deployment of an aortic cuff. The patient's clinical condition immediately improved, and after 6 months' follow-up, imaging confirmed the complete exclusion of the celiac trunk.

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http://dx.doi.org/10.1007/s00270-012-0444-7DOI Listing

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