Rupture of true aneurysms of the pancreaticoduodenal arcade: Treatment with transcatheter arterial embolization

被引:11
作者
Guijt, M
van Delden, OM
Koedam, NA
van Keulen, E
Reekers, JA
机构
[1] Acad Med Ctr, Dept Surg, NL-1105 AZ Amsterdam, Netherlands
[2] Acad Med Ctr, Dept Radiol, NL-1105 AZ Amsterdam, Netherlands
[3] Gen Hosp, Dept Surg, Hilversum, Netherlands
[4] Gen Hosp, Dept Radiol, Hilversum, Netherlands
关键词
transcatheter arterial embolization; retroperitoneal hemorrhage; true aneurysm; emergency angiography;
D O I
10.1007/s00270-003-0113-y
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:166 / 168
页数:3
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