Coil Embolization of Pancreaticoduodenal Artery Aneurysms Associated with Celiac Artery Stenosis: Report of Three Cases |
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Authors: | Osamu Ikeda Yoshitaka Tamura Yutaka Nakasone Kohichi Kawanaka Yasuyuki Yamashita |
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Institution: | (1) Department of Diagnostic Radiology, Kumamoto University Graduate School of Medical and Pharmaceutical Sciences, 1-1-1, Honjo, Kumamoto 860-8505, Japan |
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Abstract: | Aneurysms of the pancreaticoduodenal artery are rare. Degeneration of pancreaticoduodenal arcade vessels due to these aneurysms
is associated with celiac artery stenosis or occlusion. Untreated lesions enlarge progressively and may rupture spontaneously.
As the location of aneurysms of pancreaticoduodenal arcade vessels renders their surgical extirpation a challenge, we examined
whether endovascular techniques offer a treatment alternative. We report on 3 patients with aneurysms of the pancreaticoduodenal
arcade vessels and concomitant celiac artery stenosis/occlusion due to compression by the median arcuate ligament or chronic
pancreatitis. All patients were treated by percutaneous coil embolization of the aneurysm. The aneurysmal sac was successfully
excluded and the native circulation was preserved. Endovascular surgery can be used to treat these aneurysms safely and permits
retention of the native circulation. |
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Keywords: | Aneurysm Celiac artery stenosis Transarterial embolization (TAE) |
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