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Il Giornale Italiano di Radiologia Medica 2018 Maggio-Giugno;5(3):367-71

DOI: 10.23736/S2283-8376.18.00067-0

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: Italian

Endovascular treatment of ruptured giant aneurysm of pancreaticoduonel artery in a patient with occlusion of celiac trunk

Matteo ARNÓ 1, Arianna NIVOLLI 1 , Antonio BARILE 2, Diego IVALDI 1, Paolo GAZZO 1

1 SSD Angiografia e Radiologia Interventistica, Ospedale Santa Corona, Pietra Ligure, Savona, Italia; 2 SC Radiologia, Ospedale San Paolo, Savona, Italia


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We report a case of a scoagulated, anemic 76-year-old man, who came to the emergency room following episodes of enterorrhagia, in a picture of suspected diverticulitis. An angio-CT was performed. A giant aneurysm of pancreaticoduonel artery was found associated with a total occlusion of celiac trunk. The Patient immediately was brought into the angiographic room. Through a left brachial approach, several vain attempts to catheterize and embolize the tributary artery to the lesion were made. Only the adoption of particular technical-procedural tricks and use of a specific shapeable microcatheter allowed to select and embolize the aforesaid vessel, excluding from the flow the voluminous aneurysmal formation and preserving the patency of the pancreaticoduodenal arcade and the liver parenchyma perfusion. Conclusion: choice of materials and technical experience of the operator are key points in the management and treatment of complex vascular anatomies, especially where the endovascular treatment becomes the first option in terms of efficacy and safety.


KEY WORDS: Aneurysm - Endovascular procedures - Embolization, therapeutic

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