Understanding Vascular Anatomy is Key to Successful Endovascular Treatment of Pancreaticoduodenal Artery Aneurysms

Pancreaticoduodenal artery aneurysm (PDAA) is a rare disease without treatment guidelines. We present two patients with PDAA. The first patient was a 70-year-old man with a pseudoaneurysm in the anterior superior pancreaticoduodenal artery (ASPDA), for which we achieved exclusion by endovascular coi...

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Bibliographic Details
Published in:Annals of Vascular Diseases 2020/09/25, Vol.13(3), pp.330-334
Main Authors: Hirano, Koji, Tokui, Toshiya, Nakamura, Bun, Inoue, Ryosai, Hirano, Reina, Maze, Yasumi, Chino, Shuji, Ito, Hisato, Shomura, Yu, Takao, Motoshi
Format: Article
Language:English
Subjects:
Case Report
celiac trunk obstruction
endovascular treatment
pancreaticoduodenal artery aneurysm
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Summary:Pancreaticoduodenal artery aneurysm (PDAA) is a rare disease without treatment guidelines. We present two patients with PDAA. The first patient was a 70-year-old man with a pseudoaneurysm in the anterior superior pancreaticoduodenal artery (ASPDA), for which we achieved exclusion by endovascular coil embolization. The second patient was a 63-year-old woman with a PDAA in the ASPDA with celiac axis obstruction. Endovascular coil embolization of the aneurysm and the ASPDA was successful without visceral organ ischemia. Endovascular treatment is effective for PDAAs, but careful evaluation of collateral circulation is vital in PDAAs with celiac axis obstruction.
ISSN:1881-641X
1881-6428
DOI:10.3400/avd.cr.20-00011