Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
권호 표지
DOI QR코드

DOI QR Code

Embolization of Inferior Pancreaticoduodenal Artery Aneurysm with Celiac Stenosis or Occlusion: A Report of Three Cases and a Review of Literature

복강동맥 협착 또는 폐색을 동반한 하췌십이지장동맥 동맥류의 색전술: 세 개의 증례 보고와 문헌 고찰

  • Minha Kwag (Department of Radiology, Inje University Busan Paik Hospital) ;
  • Hyun Seok Jung (Department of Radiology, Wonkwang University Hospital) ;
  • Young Jin Heo (Department of Radiology, Inje University Busan Paik Hospital) ;
  • Jin Wook Baek (Department of Radiology, Inje University Busan Paik Hospital) ;
  • Gi Won Shin (Department of Radiology, Inje University Busan Paik Hospital)
  • 곽민하 (인제대학교 부산백병원 영상의학과) ;
  • 정현석 (원광대학교병원 영상의학과) ;
  • 허영진 (인제대학교 부산백병원 영상의학과) ;
  • 백진욱 (인제대학교 부산백병원 영상의학과) ;
  • 신기원 (인제대학교 부산백병원 영상의학과)
  • Received : 2019.01.08
  • Accepted : 2019.10.08
  • Published : 2020.07.01
Download PDF
⟨ Previous Next ⟩

Abstract

True pancreaticoduodenal artery aneurysms are relatively rare, approximately 50% of which are associated with stenosis or occlusion of the celiac axis. It is imperative to treat the condition immediately after diagnosis, considering that its rupture has a mortality rate of approximately 50%. The current most commonly used method to treat pancreaticoduodenal artery aneurysms is transcatheter arterial embolization. Here, we report three cases of embolization of inferior pancreaticoduodenal artery aneurysm with celiac stenosis or occlusion along with a literature review.

하췌십이지장동맥 동맥류는 드물다. 진성 하췌십이지장동맥 동맥류의 약 50%가 복강동맥의 협착 또는 폐색과 관련이 있는 것으로 알려져 있다. 하췌십이지장동맥 동맥류는 발견되는 즉시 치료해야 하는데, 파열 시 사망률이 50%에 이르기 때문이다. 최근에 가장 널리 쓰이는 치료법은 카테터 경유 동맥 색전술이다. 저자들은 복강동맥의 협착 또는 폐쇄를 동반한 하췌십이지장동맥 동맥류를 색전술로 치료한 세 개의 증례를 소개하고, 이에 대한 문헌을 고찰하고자 한다.

Keywords

References

  1. Brocker JA, Maher JL, Smith RW. True pancreaticoduodenal aneurysms with celiac stenosis or occlusion. Am J Surg 2012;204:762-768
  2. Flood K, Nicholson AA. Inferior pancreaticoduodenal artery aneurysms associated with occlusive lesions of the celiac axis: diagnosis, treatment options, outcomes, and review of the literature. Cardiovasc Intervent Radiol 2013;36:578-587
  3. Chivot C, Rebibo L, Robert B, Regimbeau JM, Yzet T. Ruptured pancreaticoduodenal artery aneurysms associated with celiac stenosis caused by the median arcuate ligament: a poorly known etiology of acute abdominal pain. Eur J Vasc Endovasc Surg 2016;51:295-301
  4. Vandy FC, Sell KA, Eliason JL, Coleman DM, Rectenwald JE, Stanley JC. Pancreaticoduodenal and gastroduodenal artery aneurysms associated with celiac artery occlusive disease. Ann Vasc Surg 2017;41:32-40
  5. Wattez H, Lancelevee J, Perot C, Massouille D, Chambon JP. Compressive pancreaticoduodenal artery aneurysm associated with celiac artery stenosis. Ann Vasc Surg 2013;27:1187.e1-4
  6. Kallamadi R, Demoya MA, Kalva SP. Inferior pancreaticoduodenal artery aneurysms in association with celiac stenosis/occlusion. Semin Intervent Radiol 2009;26:215-223
  7. Bageacu S, Cuilleron M, Kaczmarek D, Porcheron J. True aneurysms of the pancreaticoduodenal artery: successful non-operative management. Surgery 2006;139:608-616
  8. Sgroi MD, Kabutey NK, Krishnam M, Fujitani RM. Pancreaticoduodenal artery aneurysms secondary to median arcuate ligament syndrome may not need celiac artery revascularization or ligament release. Ann Vasc Surg 2015;29:122.e1-7
  9. Sato A, Yamada T, Takase K, Matsuhashi T, Higano S, Kaneda T, et al. The fatal risk in hepatic artery embolization for hemostasis after pancreatic and hepatic surgery: importance of collateral arterial pathways. J Vasc Interv Radiol 2011;22:287-293
  10. Ikeda O, Nakasone Y, Yokoyama K, Inoue S, Tamura Y, Yamashita Y. Simultaneous coil embolization and angioplasty using a self-expanding nitinol stent to treat pancreaticoduodenal artery aneurysms associated with celiac artery stenosis. Acta Radiol 2013;54:949-953