Rupture of True Aneurysms of the Pancreaticoduodenal Arcade: Treatment with Transcatheter Arterial Embolization

Journal Article · Mon Mar 15 00:00:00 EST 2004 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-003-0113-Y· OSTI ID:21088305

Guijt, M; Delden, O.M. van , ^[1]; Koedam, N A; Keulen, E van ^[2]; Reekers, J A ^[1]

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1. Academic Medical Center, Amsterdam, Departments of Surgery and Radiology (Netherlands)
2. General Hospital, Hilversum, Departments of Surgery and Radiology (Netherlands)

We present 2 cases of ruptured true aneurysms of the pancreaticoduodenal arcade, underscoring the role of transcatheter arterial embolization (TAE) as the initial treatment of choice in pancreaticoduodenal arcade aneurysm. Ruptured true aneurysms of the pancreaticoduodenal artery (PDA) are uncommon and few cases have been reported, whereas false aneurysms are seen more often. The first patient we describe is a 63-year-old woman with an aneurysm of the PDA initially treated by TAE. The second case is a 67-year-old woman with an aneurysm of the inferior PDA postoperatively treated by TAE. In both patients TAE via a combined superior mesenteric artery and celiac axis approach was successful. Follow-up contrast-enhanced computed tomography showed prolonged occlusion of both aneurysms. A review of the literature concerning TAE supports our experience that TAE of ruptured aneurysms of the pancreaticoduodenal arcade, when feasible, is at least as effective as conventional surgery, but with lower morbidity and mortality. Therefore, TAE should be the initial treatment of choice in this group of patients.

• OSTI ID: 21088305
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 27, Issue 2; Other Information: DOI: 10.1007/s00270-003-0113-y; Copyright (c) 2004 Springer-Verlag; Article Copyright (c) 2004 Springer-Verlag New York, Inc.; www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
COMPUTERIZED TOMOGRAPHY
DISEASE INCIDENCE
MORTALITY
PATIENTS
RUPTURES
SURGERY