Inferior pancreaticoduodenal artery aneurysm treated with coil packing and stent placement

Two cases with a pancreaticoduodenal arterial aneurysm accompanied with superior mesenteric artery(SMA) stenosis were previously described and both were treated surgically.However,for interventional treatment,securing a sufficient blood supply to the SMA should be a priority of treatment.We present...

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Bibliographic Details
Published in:World journal of radiology 2012-08, Vol.4 (8), p.387-390
Main Authors: Ikoma, Akira, Nakai, Motoki, Sato, Morio, Kawai, Nobuyuki, Tanaka, Takami, Sanda, Hiroki, Nakata, Kouhei, Minamiguchi, Hiroki, Sonomura, Tetsuo
Format: Article
Language:English
Subjects:
aneurysm
angioplasty
arterial
artery
Balloon
Case Report
Coil
mesenteric
packing
Pancreaticoduodenal
placement
Pull-through
stenosis
Stent
Superior
technique
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Summary:Two cases with a pancreaticoduodenal arterial aneurysm accompanied with superior mesenteric artery(SMA) stenosis were previously described and both were treated surgically.However,for interventional treatment,securing a sufficient blood supply to the SMA should be a priority of treatment.We present the case of a 71-year-old male with a 20 mm diameter pancreaticoduodenal arterial aneurysm accompanied by SMA stenosis at its origin.The guidewire traverse from SMA to the aneurysm was difficult because of the tight SMA stenosis;however,the guidewire traverse from the celiac artery was finally successful and was followed by balloon angioplasty using a pull-through technique,leading to stent placement.Thereafter,coil packing through the SMA achieved eradication of the aneurysm without bowel ischemia.At the last follow-up computed tomography 8 mo later,no recurrence of the aneurysm was confirmed.The pull-through technique was useful for angioplasty for tight SMA stenosis in this case.
ISSN:1949-8470
1949-8470
DOI:10.4329/wjr.v4.i8.387