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

Marton Berczeli, Ponraj Chinnadurai, Ross G. McFall, Orlando Diaz, Alan B. Lumsden

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)265-270
Number of pages6
JournalJournal of Vascular Surgery Cases and Innovative Techniques
Volume8
Issue number2
DOIs
StatePublished - Jun 2022

Keywords

  • Aneurysm coiling
  • Braided stent-assisted coil embolization
  • Cone-beam CT angiography
  • Endovascular treatment
  • Image-fusion guidance
  • Pancreaticoduodenal arterial arcade aneurysm
  • Visceral aneurysm treatment

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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