Ruptured pancreaticoduodenal artery aneurysm treated by superselective transcatheter arterial embolization and preserving vascularity of pancreaticoduodenal arcades
We report a case of a ruptured aneurysm in the anterior superior pancreaticoduodenal artery (PDA) with hypovolemic shock managed successfully by superselective transcatheter arterial embolization of the aneurysm. A75‐year‐old male presented to our hospital with hematemesis and melena. On admission,...
Gespeichert in:
| Veröffentlicht in: | Journal of Hepato‐Biliary‐Pancreatic Surgery 2004-04, Vol.11 (2), p.145-148 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 148 |
|---|---|
| container_issue | 2 |
| container_start_page | 145 |
| container_title | Journal of Hepato‐Biliary‐Pancreatic Surgery |
| container_volume | 11 |
| creator | Izumi, Makoto Ryu, Munemasu Cho, Akihiro Gupta, Rajesh Tiku, Vinoud Takayama, Wataru Kawashima, Taichi Okazumi, Shinichi |
| description | We report a case of a ruptured aneurysm in the anterior superior pancreaticoduodenal artery (PDA) with hypovolemic shock managed successfully by superselective transcatheter arterial embolization of the aneurysm. A75‐year‐old male presented to our hospital with hematemesis and melena. On admission, he was in shock. Angiography showed an aneurysm about 1 cm in diameter in the anterior superior PDA. However, extravasation of contrast medium was not seen owing to hypovolemic shock. A catheter was inserted into the aneurysm, and superselective microcoil embolization of the PDA aneurysm was successfully achieved. After the microcoil was inserted into the aneurysm itself, it was observed that duodenal vascularity and pancreaticoduodenal arcades were preserved and aneurysm was not present. There was no complication such as necrosis or abscess formation in the pancreas. The patient recovered and is doing well after 18 months of follow‐up. Superselective transcatheter arterial embolization should be considered as the initial treatment of choice for all peripancreatic aneurysms. |
| doi_str_mv | 10.1007/s00534-003-0859-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_71903846</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>71903846</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3297-75e3d215026bbd63c897152033dde82ae53e6669060888284b8d207bee795fe3</originalsourceid><addsrcrecordid>eNqFkctuFDEQRa0IlEwCH8AG9YpdQ9nu9mMJUSBBkUAoe8tt14BRv7DbEzXfw4fiUY_ECmVVizr3lEqXkFcU3lIA-S4BtLypAXgNqtU1OyM7qoSqhVbsGdmBbpqaUiEuyGVKPwGobJU8Jxe0pUwyBTvy51uelxzRV7MdXUS7BDf5PHkcbV_ZuGBcKztijmsaquUIFLZbq5RnjAl7dEs4YNnYMTm7_MCS2HKhCHDopj78LtZpLJpyJWLCeAjj9-pgk8u9jWFZq2n_n_vOekwvyPO97RO-PM0r8vDx5uH6tr7_8unu-v197TjTspYtcs9oC0x0nRfcKS1py4Bz71Exiy1HIYQGAUoppppOeQayQ5S63SO_Im827RynXxnTYoaQHPZ9-X_KyUiqgatGFJBuoItTShH3Zo5hsHE1FMyxGbM1Y0oz5tiMYSXz-iTP3YD-X-JURQHEBjyGHtenjebz7YevWkv-F_cCn2I</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>71903846</pqid></control><display><type>article</type><title>Ruptured pancreaticoduodenal artery aneurysm treated by superselective transcatheter arterial embolization and preserving vascularity of pancreaticoduodenal arcades</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Izumi, Makoto ; Ryu, Munemasu ; Cho, Akihiro ; Gupta, Rajesh ; Tiku, Vinoud ; Takayama, Wataru ; Kawashima, Taichi ; Okazumi, Shinichi</creator><creatorcontrib>Izumi, Makoto ; Ryu, Munemasu ; Cho, Akihiro ; Gupta, Rajesh ; Tiku, Vinoud ; Takayama, Wataru ; Kawashima, Taichi ; Okazumi, Shinichi</creatorcontrib><description>We report a case of a ruptured aneurysm in the anterior superior pancreaticoduodenal artery (PDA) with hypovolemic shock managed successfully by superselective transcatheter arterial embolization of the aneurysm. A75‐year‐old male presented to our hospital with hematemesis and melena. On admission, he was in shock. Angiography showed an aneurysm about 1 cm in diameter in the anterior superior PDA. However, extravasation of contrast medium was not seen owing to hypovolemic shock. A catheter was inserted into the aneurysm, and superselective microcoil embolization of the PDA aneurysm was successfully achieved. After the microcoil was inserted into the aneurysm itself, it was observed that duodenal vascularity and pancreaticoduodenal arcades were preserved and aneurysm was not present. There was no complication such as necrosis or abscess formation in the pancreas. The patient recovered and is doing well after 18 months of follow‐up. Superselective transcatheter arterial embolization should be considered as the initial treatment of choice for all peripancreatic aneurysms.</description><identifier>ISSN: 0944-1166</identifier><identifier>EISSN: 1868-6982</identifier><identifier>EISSN: 1436-0691</identifier><identifier>DOI: 10.1007/s00534-003-0859-2</identifier><identifier>PMID: 15127280</identifier><language>eng</language><publisher>Japan</publisher><subject>Aged ; Aneurysm, Ruptured - therapy ; duodenal bleeding ; Duodenum - blood supply ; Embolization, Therapeutic ; Humans ; Male ; Pancreas - blood supply ; pancreaticoduodenal artery aneurysm ; Prostheses and Implants ; Shock - etiology ; splanchnic aneurysm ; superselective embolization</subject><ispartof>Journal of Hepato‐Biliary‐Pancreatic Surgery, 2004-04, Vol.11 (2), p.145-148</ispartof><rights>2004 Japanese Society of Hepato‐Biliary‐Pancreatic Surgery</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3297-75e3d215026bbd63c897152033dde82ae53e6669060888284b8d207bee795fe3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1007%2Fs00534-003-0859-2$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1007%2Fs00534-003-0859-2$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15127280$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Izumi, Makoto</creatorcontrib><creatorcontrib>Ryu, Munemasu</creatorcontrib><creatorcontrib>Cho, Akihiro</creatorcontrib><creatorcontrib>Gupta, Rajesh</creatorcontrib><creatorcontrib>Tiku, Vinoud</creatorcontrib><creatorcontrib>Takayama, Wataru</creatorcontrib><creatorcontrib>Kawashima, Taichi</creatorcontrib><creatorcontrib>Okazumi, Shinichi</creatorcontrib><title>Ruptured pancreaticoduodenal artery aneurysm treated by superselective transcatheter arterial embolization and preserving vascularity of pancreaticoduodenal arcades</title><title>Journal of Hepato‐Biliary‐Pancreatic Surgery</title><addtitle>J Hepatobiliary Pancreat Surg</addtitle><description>We report a case of a ruptured aneurysm in the anterior superior pancreaticoduodenal artery (PDA) with hypovolemic shock managed successfully by superselective transcatheter arterial embolization of the aneurysm. A75‐year‐old male presented to our hospital with hematemesis and melena. On admission, he was in shock. Angiography showed an aneurysm about 1 cm in diameter in the anterior superior PDA. However, extravasation of contrast medium was not seen owing to hypovolemic shock. A catheter was inserted into the aneurysm, and superselective microcoil embolization of the PDA aneurysm was successfully achieved. After the microcoil was inserted into the aneurysm itself, it was observed that duodenal vascularity and pancreaticoduodenal arcades were preserved and aneurysm was not present. There was no complication such as necrosis or abscess formation in the pancreas. The patient recovered and is doing well after 18 months of follow‐up. Superselective transcatheter arterial embolization should be considered as the initial treatment of choice for all peripancreatic aneurysms.</description><subject>Aged</subject><subject>Aneurysm, Ruptured - therapy</subject><subject>duodenal bleeding</subject><subject>Duodenum - blood supply</subject><subject>Embolization, Therapeutic</subject><subject>Humans</subject><subject>Male</subject><subject>Pancreas - blood supply</subject><subject>pancreaticoduodenal artery aneurysm</subject><subject>Prostheses and Implants</subject><subject>Shock - etiology</subject><subject>splanchnic aneurysm</subject><subject>superselective embolization</subject><issn>0944-1166</issn><issn>1868-6982</issn><issn>1436-0691</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkctuFDEQRa0IlEwCH8AG9YpdQ9nu9mMJUSBBkUAoe8tt14BRv7DbEzXfw4fiUY_ECmVVizr3lEqXkFcU3lIA-S4BtLypAXgNqtU1OyM7qoSqhVbsGdmBbpqaUiEuyGVKPwGobJU8Jxe0pUwyBTvy51uelxzRV7MdXUS7BDf5PHkcbV_ZuGBcKztijmsaquUIFLZbq5RnjAl7dEs4YNnYMTm7_MCS2HKhCHDopj78LtZpLJpyJWLCeAjj9-pgk8u9jWFZq2n_n_vOekwvyPO97RO-PM0r8vDx5uH6tr7_8unu-v197TjTspYtcs9oC0x0nRfcKS1py4Bz71Exiy1HIYQGAUoppppOeQayQ5S63SO_Im827RynXxnTYoaQHPZ9-X_KyUiqgatGFJBuoItTShH3Zo5hsHE1FMyxGbM1Y0oz5tiMYSXz-iTP3YD-X-JURQHEBjyGHtenjebz7YevWkv-F_cCn2I</recordid><startdate>200404</startdate><enddate>200404</enddate><creator>Izumi, Makoto</creator><creator>Ryu, Munemasu</creator><creator>Cho, Akihiro</creator><creator>Gupta, Rajesh</creator><creator>Tiku, Vinoud</creator><creator>Takayama, Wataru</creator><creator>Kawashima, Taichi</creator><creator>Okazumi, Shinichi</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200404</creationdate><title>Ruptured pancreaticoduodenal artery aneurysm treated by superselective transcatheter arterial embolization and preserving vascularity of pancreaticoduodenal arcades</title><author>Izumi, Makoto ; Ryu, Munemasu ; Cho, Akihiro ; Gupta, Rajesh ; Tiku, Vinoud ; Takayama, Wataru ; Kawashima, Taichi ; Okazumi, Shinichi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3297-75e3d215026bbd63c897152033dde82ae53e6669060888284b8d207bee795fe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Aged</topic><topic>Aneurysm, Ruptured - therapy</topic><topic>duodenal bleeding</topic><topic>Duodenum - blood supply</topic><topic>Embolization, Therapeutic</topic><topic>Humans</topic><topic>Male</topic><topic>Pancreas - blood supply</topic><topic>pancreaticoduodenal artery aneurysm</topic><topic>Prostheses and Implants</topic><topic>Shock - etiology</topic><topic>splanchnic aneurysm</topic><topic>superselective embolization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Izumi, Makoto</creatorcontrib><creatorcontrib>Ryu, Munemasu</creatorcontrib><creatorcontrib>Cho, Akihiro</creatorcontrib><creatorcontrib>Gupta, Rajesh</creatorcontrib><creatorcontrib>Tiku, Vinoud</creatorcontrib><creatorcontrib>Takayama, Wataru</creatorcontrib><creatorcontrib>Kawashima, Taichi</creatorcontrib><creatorcontrib>Okazumi, Shinichi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of Hepato‐Biliary‐Pancreatic Surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Izumi, Makoto</au><au>Ryu, Munemasu</au><au>Cho, Akihiro</au><au>Gupta, Rajesh</au><au>Tiku, Vinoud</au><au>Takayama, Wataru</au><au>Kawashima, Taichi</au><au>Okazumi, Shinichi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ruptured pancreaticoduodenal artery aneurysm treated by superselective transcatheter arterial embolization and preserving vascularity of pancreaticoduodenal arcades</atitle><jtitle>Journal of Hepato‐Biliary‐Pancreatic Surgery</jtitle><addtitle>J Hepatobiliary Pancreat Surg</addtitle><date>2004-04</date><risdate>2004</risdate><volume>11</volume><issue>2</issue><spage>145</spage><epage>148</epage><pages>145-148</pages><issn>0944-1166</issn><eissn>1868-6982</eissn><eissn>1436-0691</eissn><abstract>We report a case of a ruptured aneurysm in the anterior superior pancreaticoduodenal artery (PDA) with hypovolemic shock managed successfully by superselective transcatheter arterial embolization of the aneurysm. A75‐year‐old male presented to our hospital with hematemesis and melena. On admission, he was in shock. Angiography showed an aneurysm about 1 cm in diameter in the anterior superior PDA. However, extravasation of contrast medium was not seen owing to hypovolemic shock. A catheter was inserted into the aneurysm, and superselective microcoil embolization of the PDA aneurysm was successfully achieved. After the microcoil was inserted into the aneurysm itself, it was observed that duodenal vascularity and pancreaticoduodenal arcades were preserved and aneurysm was not present. There was no complication such as necrosis or abscess formation in the pancreas. The patient recovered and is doing well after 18 months of follow‐up. Superselective transcatheter arterial embolization should be considered as the initial treatment of choice for all peripancreatic aneurysms.</abstract><cop>Japan</cop><pmid>15127280</pmid><doi>10.1007/s00534-003-0859-2</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0944-1166 |
| ispartof | Journal of Hepato‐Biliary‐Pancreatic Surgery, 2004-04, Vol.11 (2), p.145-148 |
| issn | 0944-1166 1868-6982 1436-0691 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_71903846 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Aged Aneurysm, Ruptured - therapy duodenal bleeding Duodenum - blood supply Embolization, Therapeutic Humans Male Pancreas - blood supply pancreaticoduodenal artery aneurysm Prostheses and Implants Shock - etiology splanchnic aneurysm superselective embolization |
| title | Ruptured pancreaticoduodenal artery aneurysm treated by superselective transcatheter arterial embolization and preserving vascularity of pancreaticoduodenal arcades |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-26T18%3A26%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Ruptured%20pancreaticoduodenal%20artery%20aneurysm%20treated%20by%20superselective%20transcatheter%20arterial%20embolization%20and%20preserving%20vascularity%20of%20pancreaticoduodenal%20arcades&rft.jtitle=Journal%20of%20Hepato%E2%80%90Biliary%E2%80%90Pancreatic%20Surgery&rft.au=Izumi,%20Makoto&rft.date=2004-04&rft.volume=11&rft.issue=2&rft.spage=145&rft.epage=148&rft.pages=145-148&rft.issn=0944-1166&rft.eissn=1868-6982&rft_id=info:doi/10.1007/s00534-003-0859-2&rft_dat=%3Cproquest_cross%3E71903846%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=71903846&rft_id=info:pmid/15127280&rfr_iscdi=true |