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Transcatheter arterial embolization for bleeding from the pancreaticoduodenal artery in patients with celiac artery stenosis: A technical report

BACKGROUND: Transcatheter arterial embolization (TAE) is widely accepted as a treatment for bleeding from the pancreaticodoudenal artery (PDA) in patients with celiac artery stenosis. However, the technical aspect of TAE has not received much attention. PURPOSE: To report the technical details and s...

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Autores principales: Onishi, Yasuyuki, Shimizu, Hironori, Isoda, Hiroyoshi, Shinozuka, Ken, Ohtsuru, Shigeru, Nakamoto, Yuji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9597204/
https://www.ncbi.nlm.nih.gov/pubmed/36313861
http://dx.doi.org/10.1177/20584601221135180
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author Onishi, Yasuyuki
Shimizu, Hironori
Isoda, Hiroyoshi
Shinozuka, Ken
Ohtsuru, Shigeru
Nakamoto, Yuji
author_facet Onishi, Yasuyuki
Shimizu, Hironori
Isoda, Hiroyoshi
Shinozuka, Ken
Ohtsuru, Shigeru
Nakamoto, Yuji
author_sort Onishi, Yasuyuki
collection PubMed
description BACKGROUND: Transcatheter arterial embolization (TAE) is widely accepted as a treatment for bleeding from the pancreaticodoudenal artery (PDA) in patients with celiac artery stenosis. However, the technical aspect of TAE has not received much attention. PURPOSE: To report the technical details and success rate of TAE for bleeding from the PDA in patients with CA stenosis. MATERIAL AND METHODS: Between 2015 and 2021, nine TAE procedures were performed in eight patients (five women, three men; one woman underwent TAE twice). The cause of CA stenosis was compression by the median arcuate ligament in eight cases and CA dissection in one case. The cause of bleeding was flow-related aneurysm rupture in six cases. Pre-TAE CT showed a pseudoaneurysm in all cases. The technical details of TAE were recorded, and the success rate was evaluated. RESULTS: The technical and clinical success rates were 100%. In six cases, both the CA and superior mesenteric artery (SMA) were cannulated using two parent catheters: a microcatheter advancing to the pseudoaneurysm from the CA (the CA approach) to achieve embolization and another catheter for angiography advancing from the SMA to map the vascular anatomy. In five cases, the CA approach was successfully performed after failed attempts of advancing a microcatheter from the SMA. CONCLUSION: TAE is an effective treatment for bleeding from the PDA in patients with CA stenosis. Using two parent catheters, one for CA cannulation and microcatheter advancement and another for SMA cannulation and vascular mapping, may be a useful technique.
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spelling pubmed-95972042022-10-27 Transcatheter arterial embolization for bleeding from the pancreaticoduodenal artery in patients with celiac artery stenosis: A technical report Onishi, Yasuyuki Shimizu, Hironori Isoda, Hiroyoshi Shinozuka, Ken Ohtsuru, Shigeru Nakamoto, Yuji Acta Radiol Open Technique (CT/MR) BACKGROUND: Transcatheter arterial embolization (TAE) is widely accepted as a treatment for bleeding from the pancreaticodoudenal artery (PDA) in patients with celiac artery stenosis. However, the technical aspect of TAE has not received much attention. PURPOSE: To report the technical details and success rate of TAE for bleeding from the PDA in patients with CA stenosis. MATERIAL AND METHODS: Between 2015 and 2021, nine TAE procedures were performed in eight patients (five women, three men; one woman underwent TAE twice). The cause of CA stenosis was compression by the median arcuate ligament in eight cases and CA dissection in one case. The cause of bleeding was flow-related aneurysm rupture in six cases. Pre-TAE CT showed a pseudoaneurysm in all cases. The technical details of TAE were recorded, and the success rate was evaluated. RESULTS: The technical and clinical success rates were 100%. In six cases, both the CA and superior mesenteric artery (SMA) were cannulated using two parent catheters: a microcatheter advancing to the pseudoaneurysm from the CA (the CA approach) to achieve embolization and another catheter for angiography advancing from the SMA to map the vascular anatomy. In five cases, the CA approach was successfully performed after failed attempts of advancing a microcatheter from the SMA. CONCLUSION: TAE is an effective treatment for bleeding from the PDA in patients with CA stenosis. Using two parent catheters, one for CA cannulation and microcatheter advancement and another for SMA cannulation and vascular mapping, may be a useful technique. SAGE Publications 2022-10-21 /pmc/articles/PMC9597204/ /pubmed/36313861 http://dx.doi.org/10.1177/20584601221135180 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Technique (CT/MR)
Onishi, Yasuyuki
Shimizu, Hironori
Isoda, Hiroyoshi
Shinozuka, Ken
Ohtsuru, Shigeru
Nakamoto, Yuji
Transcatheter arterial embolization for bleeding from the pancreaticoduodenal artery in patients with celiac artery stenosis: A technical report
title Transcatheter arterial embolization for bleeding from the pancreaticoduodenal artery in patients with celiac artery stenosis: A technical report
title_full Transcatheter arterial embolization for bleeding from the pancreaticoduodenal artery in patients with celiac artery stenosis: A technical report
title_fullStr Transcatheter arterial embolization for bleeding from the pancreaticoduodenal artery in patients with celiac artery stenosis: A technical report
title_full_unstemmed Transcatheter arterial embolization for bleeding from the pancreaticoduodenal artery in patients with celiac artery stenosis: A technical report
title_short Transcatheter arterial embolization for bleeding from the pancreaticoduodenal artery in patients with celiac artery stenosis: A technical report
title_sort transcatheter arterial embolization for bleeding from the pancreaticoduodenal artery in patients with celiac artery stenosis: a technical report
topic Technique (CT/MR)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9597204/
https://www.ncbi.nlm.nih.gov/pubmed/36313861
http://dx.doi.org/10.1177/20584601221135180
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