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Endovascular treatment of pancreaticoduodenal aneurysm with braided stent-assisted coil embolization using intraoperative cone-beam computed tomography guidance

Pancreaticoduodenal arterial arcade aneurysms are rare but are prone to rupture. We report the case of a 60-year-old woman with an asymptomatic pancreaticoduodenal artery aneurysm and concomitant celiac trunk occlusion that was treated using an endovascular approach. After percutaneous transfemoral...

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Autores principales: Berczeli, Marton, Chinnadurai, Ponraj, McFall, Ross G., Diaz, Orlando, Lumsden, Alan B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9108329/
https://www.ncbi.nlm.nih.gov/pubmed/35586675
http://dx.doi.org/10.1016/j.jvscit.2022.03.010
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author Berczeli, Marton
Chinnadurai, Ponraj
McFall, Ross G.
Diaz, Orlando
Lumsden, Alan B.
author_facet Berczeli, Marton
Chinnadurai, Ponraj
McFall, Ross G.
Diaz, Orlando
Lumsden, Alan B.
author_sort Berczeli, Marton
collection PubMed
description Pancreaticoduodenal arterial arcade aneurysms are rare but are prone to rupture. We report the case of a 60-year-old woman with an asymptomatic pancreaticoduodenal artery aneurysm and concomitant celiac trunk occlusion that was treated using an endovascular approach. After percutaneous transfemoral access and superior mesenteric artery cannulation, intraoperative cone-beam computed tomography angiography was performed to better understand the aneurysm morphology and provide image guidance. On selecting the optimal working projection, the aneurysm and distal parent vessel were cannulated and treated by braided stent (low-profile visualized intraluminal support; MicroVention)-assisted coil embolization. Completion angiography and cone-beam computed tomography confirmed successful exclusion of the aneurysm sac and a patent pancreaticoduodenal arcade with a well-apposed stent.
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spelling pubmed-91083292022-05-17 Endovascular treatment of pancreaticoduodenal aneurysm with braided stent-assisted coil embolization using intraoperative cone-beam computed tomography guidance Berczeli, Marton Chinnadurai, Ponraj McFall, Ross G. Diaz, Orlando Lumsden, Alan B. J Vasc Surg Cases Innov Tech Case report Pancreaticoduodenal arterial arcade aneurysms are rare but are prone to rupture. We report the case of a 60-year-old woman with an asymptomatic pancreaticoduodenal artery aneurysm and concomitant celiac trunk occlusion that was treated using an endovascular approach. After percutaneous transfemoral access and superior mesenteric artery cannulation, intraoperative cone-beam computed tomography angiography was performed to better understand the aneurysm morphology and provide image guidance. On selecting the optimal working projection, the aneurysm and distal parent vessel were cannulated and treated by braided stent (low-profile visualized intraluminal support; MicroVention)-assisted coil embolization. Completion angiography and cone-beam computed tomography confirmed successful exclusion of the aneurysm sac and a patent pancreaticoduodenal arcade with a well-apposed stent. Elsevier 2022-03-31 /pmc/articles/PMC9108329/ /pubmed/35586675 http://dx.doi.org/10.1016/j.jvscit.2022.03.010 Text en © 2022 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case report
Berczeli, Marton
Chinnadurai, Ponraj
McFall, Ross G.
Diaz, Orlando
Lumsden, Alan B.
Endovascular treatment of pancreaticoduodenal aneurysm with braided stent-assisted coil embolization using intraoperative cone-beam computed tomography guidance
title Endovascular treatment of pancreaticoduodenal aneurysm with braided stent-assisted coil embolization using intraoperative cone-beam computed tomography guidance
title_full Endovascular treatment of pancreaticoduodenal aneurysm with braided stent-assisted coil embolization using intraoperative cone-beam computed tomography guidance
title_fullStr Endovascular treatment of pancreaticoduodenal aneurysm with braided stent-assisted coil embolization using intraoperative cone-beam computed tomography guidance
title_full_unstemmed Endovascular treatment of pancreaticoduodenal aneurysm with braided stent-assisted coil embolization using intraoperative cone-beam computed tomography guidance
title_short Endovascular treatment of pancreaticoduodenal aneurysm with braided stent-assisted coil embolization using intraoperative cone-beam computed tomography guidance
title_sort endovascular treatment of pancreaticoduodenal aneurysm with braided stent-assisted coil embolization using intraoperative cone-beam computed tomography guidance
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9108329/
https://www.ncbi.nlm.nih.gov/pubmed/35586675
http://dx.doi.org/10.1016/j.jvscit.2022.03.010
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