Transcatheter arterial embolization for bleeding from the pancreaticoduodenal artery in patients with celiac artery stenosis: A technical report
Background Transcatheter arterial embolization (TAE) is widely accepted as a treatment for bleeding from the pancreaticodoudenal artery (PDA) in patients with celiac artery stenosis. However, the technical aspect of TAE has not received much attention. Purpose To report the technical details and suc...
Gespeichert in:
| Veröffentlicht in: | Acta radiologica open 2022-10, Vol.11 (10), p.205846012211351-20584601221135180 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 20584601221135180 |
|---|---|
| container_issue | 10 |
| container_start_page | 205846012211351 |
| container_title | Acta radiologica open |
| container_volume | 11 |
| creator | Onishi, Yasuyuki Shimizu, Hironori Isoda, Hiroyoshi Shinozuka, Ken Ohtsuru, Shigeru Nakamoto, Yuji |
| description | Background
Transcatheter arterial embolization (TAE) is widely accepted as a treatment for bleeding from the pancreaticodoudenal artery (PDA) in patients with celiac artery stenosis. However, the technical aspect of TAE has not received much attention.
Purpose
To report the technical details and success rate of TAE for bleeding from the PDA in patients with CA stenosis.
Material and Methods
Between 2015 and 2021, nine TAE procedures were performed in eight patients (five women, three men; one woman underwent TAE twice). The cause of CA stenosis was compression by the median arcuate ligament in eight cases and CA dissection in one case. The cause of bleeding was flow-related aneurysm rupture in six cases. Pre-TAE CT showed a pseudoaneurysm in all cases. The technical details of TAE were recorded, and the success rate was evaluated.
Results
The technical and clinical success rates were 100%. In six cases, both the CA and superior mesenteric artery (SMA) were cannulated using two parent catheters: a microcatheter advancing to the pseudoaneurysm from the CA (the CA approach) to achieve embolization and another catheter for angiography advancing from the SMA to map the vascular anatomy. In five cases, the CA approach was successfully performed after failed attempts of advancing a microcatheter from the SMA.
Conclusion
TAE is an effective treatment for bleeding from the PDA in patients with CA stenosis. Using two parent catheters, one for CA cannulation and microcatheter advancement and another for SMA cannulation and vascular mapping, may be a useful technique. |
| doi_str_mv | 10.1177/20584601221135180 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9597204</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_20584601221135180</sage_id><sourcerecordid>2730645186</sourcerecordid><originalsourceid>FETCH-LOGICAL-c373t-2c3252b4ce37dd07eb5306c11abf3d87d4c6e1220244c308e493accee444bbc33</originalsourceid><addsrcrecordid>eNp1kc1OGzEUhUdVKxEBD8DOUjdsQv07TrpAilChSEhswtry3LmTOJqxg-1pBU_BI-MQ-kMrNrZ173eOju-tqhNGzxjT-gunaiZryjhnTCg2ox-qya423RU__vU-qI5T2lBKmVSiVmxSPS2j9QlsXmPGSGwsp7M9waEJvXu02QVPuhBJ0yO2zq9IF8NACk621kPEQkBox9CiL7IX_QNxvnSzQ58T-enymgD2zsKvdsroQ3LpK1mQjLD2Doo24jbEfFR96myf8Pj1PqzuLr8tL75Pb26vri8WN1MQWuQpB8EVbySg0G1LNTZK0BoYs00n2pluJdRYBkK5lCDoDOVcWABEKWXTgBCH1fnedzs2A7ZQskbbm210g40PJlhn3na8W5tV-GHmaq45lcXg9NUghvsRUzaDS-WfvfUYxmS4LoFk2UZd0M__oJswxjKvPaWEVmxHsT0FMaQUsfsdhlGz27P5b89Fc7bXJLvCP67vC54BKOGr1w</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2730537516</pqid></control><display><type>article</type><title>Transcatheter arterial embolization for bleeding from the pancreaticoduodenal artery in patients with celiac artery stenosis: A technical report</title><source>DOAJ Directory of Open Access Journals</source><source>Sage Journals GOLD Open Access 2024</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>PubMed Central Open Access</source><creator>Onishi, Yasuyuki ; Shimizu, Hironori ; Isoda, Hiroyoshi ; Shinozuka, Ken ; Ohtsuru, Shigeru ; Nakamoto, Yuji</creator><creatorcontrib>Onishi, Yasuyuki ; Shimizu, Hironori ; Isoda, Hiroyoshi ; Shinozuka, Ken ; Ohtsuru, Shigeru ; Nakamoto, Yuji</creatorcontrib><description>Background
Transcatheter arterial embolization (TAE) is widely accepted as a treatment for bleeding from the pancreaticodoudenal artery (PDA) in patients with celiac artery stenosis. However, the technical aspect of TAE has not received much attention.
Purpose
To report the technical details and success rate of TAE for bleeding from the PDA in patients with CA stenosis.
Material and Methods
Between 2015 and 2021, nine TAE procedures were performed in eight patients (five women, three men; one woman underwent TAE twice). The cause of CA stenosis was compression by the median arcuate ligament in eight cases and CA dissection in one case. The cause of bleeding was flow-related aneurysm rupture in six cases. Pre-TAE CT showed a pseudoaneurysm in all cases. The technical details of TAE were recorded, and the success rate was evaluated.
Results
The technical and clinical success rates were 100%. In six cases, both the CA and superior mesenteric artery (SMA) were cannulated using two parent catheters: a microcatheter advancing to the pseudoaneurysm from the CA (the CA approach) to achieve embolization and another catheter for angiography advancing from the SMA to map the vascular anatomy. In five cases, the CA approach was successfully performed after failed attempts of advancing a microcatheter from the SMA.
Conclusion
TAE is an effective treatment for bleeding from the PDA in patients with CA stenosis. Using two parent catheters, one for CA cannulation and microcatheter advancement and another for SMA cannulation and vascular mapping, may be a useful technique.</description><identifier>ISSN: 2058-4601</identifier><identifier>EISSN: 2058-4601</identifier><identifier>DOI: 10.1177/20584601221135180</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Angiography ; Bleeding ; Cannulation ; Catheters ; Compression ; Embolization ; Medical instruments ; Patients ; Pseudoaneurysm ; Stenosis ; Success ; Technique (CT/MR) ; Veins & arteries</subject><ispartof>Acta radiologica open, 2022-10, Vol.11 (10), p.205846012211351-20584601221135180</ispartof><rights>The Author(s) 2022</rights><rights>The Author(s) 2022. This work is licensed under the Creative Commons Attribution – Non-Commercial License https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2022 2022 The Foundation Acta Radiologica</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c373t-2c3252b4ce37dd07eb5306c11abf3d87d4c6e1220244c308e493accee444bbc33</citedby><cites>FETCH-LOGICAL-c373t-2c3252b4ce37dd07eb5306c11abf3d87d4c6e1220244c308e493accee444bbc33</cites><orcidid>0000-0001-5783-8048 ; 0000-0002-6747-9859 ; 0000-0002-1789-7390 ; 0000-0003-0688-2190 ; 0000-0002-7303-1532</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9597204/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9597204/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,21945,27830,27901,27902,44921,45309,53766,53768</link.rule.ids></links><search><creatorcontrib>Onishi, Yasuyuki</creatorcontrib><creatorcontrib>Shimizu, Hironori</creatorcontrib><creatorcontrib>Isoda, Hiroyoshi</creatorcontrib><creatorcontrib>Shinozuka, Ken</creatorcontrib><creatorcontrib>Ohtsuru, Shigeru</creatorcontrib><creatorcontrib>Nakamoto, Yuji</creatorcontrib><title>Transcatheter arterial embolization for bleeding from the pancreaticoduodenal artery in patients with celiac artery stenosis: A technical report</title><title>Acta radiologica open</title><description>Background
Transcatheter arterial embolization (TAE) is widely accepted as a treatment for bleeding from the pancreaticodoudenal artery (PDA) in patients with celiac artery stenosis. However, the technical aspect of TAE has not received much attention.
Purpose
To report the technical details and success rate of TAE for bleeding from the PDA in patients with CA stenosis.
Material and Methods
Between 2015 and 2021, nine TAE procedures were performed in eight patients (five women, three men; one woman underwent TAE twice). The cause of CA stenosis was compression by the median arcuate ligament in eight cases and CA dissection in one case. The cause of bleeding was flow-related aneurysm rupture in six cases. Pre-TAE CT showed a pseudoaneurysm in all cases. The technical details of TAE were recorded, and the success rate was evaluated.
Results
The technical and clinical success rates were 100%. In six cases, both the CA and superior mesenteric artery (SMA) were cannulated using two parent catheters: a microcatheter advancing to the pseudoaneurysm from the CA (the CA approach) to achieve embolization and another catheter for angiography advancing from the SMA to map the vascular anatomy. In five cases, the CA approach was successfully performed after failed attempts of advancing a microcatheter from the SMA.
Conclusion
TAE is an effective treatment for bleeding from the PDA in patients with CA stenosis. Using two parent catheters, one for CA cannulation and microcatheter advancement and another for SMA cannulation and vascular mapping, may be a useful technique.</description><subject>Angiography</subject><subject>Bleeding</subject><subject>Cannulation</subject><subject>Catheters</subject><subject>Compression</subject><subject>Embolization</subject><subject>Medical instruments</subject><subject>Patients</subject><subject>Pseudoaneurysm</subject><subject>Stenosis</subject><subject>Success</subject><subject>Technique (CT/MR)</subject><subject>Veins & arteries</subject><issn>2058-4601</issn><issn>2058-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kc1OGzEUhUdVKxEBD8DOUjdsQv07TrpAilChSEhswtry3LmTOJqxg-1pBU_BI-MQ-kMrNrZ173eOju-tqhNGzxjT-gunaiZryjhnTCg2ox-qya423RU__vU-qI5T2lBKmVSiVmxSPS2j9QlsXmPGSGwsp7M9waEJvXu02QVPuhBJ0yO2zq9IF8NACk621kPEQkBox9CiL7IX_QNxvnSzQ58T-enymgD2zsKvdsroQ3LpK1mQjLD2Doo24jbEfFR96myf8Pj1PqzuLr8tL75Pb26vri8WN1MQWuQpB8EVbySg0G1LNTZK0BoYs00n2pluJdRYBkK5lCDoDOVcWABEKWXTgBCH1fnedzs2A7ZQskbbm210g40PJlhn3na8W5tV-GHmaq45lcXg9NUghvsRUzaDS-WfvfUYxmS4LoFk2UZd0M__oJswxjKvPaWEVmxHsT0FMaQUsfsdhlGz27P5b89Fc7bXJLvCP67vC54BKOGr1w</recordid><startdate>20221001</startdate><enddate>20221001</enddate><creator>Onishi, Yasuyuki</creator><creator>Shimizu, Hironori</creator><creator>Isoda, Hiroyoshi</creator><creator>Shinozuka, Ken</creator><creator>Ohtsuru, Shigeru</creator><creator>Nakamoto, Yuji</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7U7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>KB0</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-5783-8048</orcidid><orcidid>https://orcid.org/0000-0002-6747-9859</orcidid><orcidid>https://orcid.org/0000-0002-1789-7390</orcidid><orcidid>https://orcid.org/0000-0003-0688-2190</orcidid><orcidid>https://orcid.org/0000-0002-7303-1532</orcidid></search><sort><creationdate>20221001</creationdate><title>Transcatheter arterial embolization for bleeding from the pancreaticoduodenal artery in patients with celiac artery stenosis: A technical report</title><author>Onishi, Yasuyuki ; Shimizu, Hironori ; Isoda, Hiroyoshi ; Shinozuka, Ken ; Ohtsuru, Shigeru ; Nakamoto, Yuji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c373t-2c3252b4ce37dd07eb5306c11abf3d87d4c6e1220244c308e493accee444bbc33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Angiography</topic><topic>Bleeding</topic><topic>Cannulation</topic><topic>Catheters</topic><topic>Compression</topic><topic>Embolization</topic><topic>Medical instruments</topic><topic>Patients</topic><topic>Pseudoaneurysm</topic><topic>Stenosis</topic><topic>Success</topic><topic>Technique (CT/MR)</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Onishi, Yasuyuki</creatorcontrib><creatorcontrib>Shimizu, Hironori</creatorcontrib><creatorcontrib>Isoda, Hiroyoshi</creatorcontrib><creatorcontrib>Shinozuka, Ken</creatorcontrib><creatorcontrib>Ohtsuru, Shigeru</creatorcontrib><creatorcontrib>Nakamoto, Yuji</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Toxicology Abstracts</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Acta radiologica open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Onishi, Yasuyuki</au><au>Shimizu, Hironori</au><au>Isoda, Hiroyoshi</au><au>Shinozuka, Ken</au><au>Ohtsuru, Shigeru</au><au>Nakamoto, Yuji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transcatheter arterial embolization for bleeding from the pancreaticoduodenal artery in patients with celiac artery stenosis: A technical report</atitle><jtitle>Acta radiologica open</jtitle><date>2022-10-01</date><risdate>2022</risdate><volume>11</volume><issue>10</issue><spage>205846012211351</spage><epage>20584601221135180</epage><pages>205846012211351-20584601221135180</pages><issn>2058-4601</issn><eissn>2058-4601</eissn><abstract>Background
Transcatheter arterial embolization (TAE) is widely accepted as a treatment for bleeding from the pancreaticodoudenal artery (PDA) in patients with celiac artery stenosis. However, the technical aspect of TAE has not received much attention.
Purpose
To report the technical details and success rate of TAE for bleeding from the PDA in patients with CA stenosis.
Material and Methods
Between 2015 and 2021, nine TAE procedures were performed in eight patients (five women, three men; one woman underwent TAE twice). The cause of CA stenosis was compression by the median arcuate ligament in eight cases and CA dissection in one case. The cause of bleeding was flow-related aneurysm rupture in six cases. Pre-TAE CT showed a pseudoaneurysm in all cases. The technical details of TAE were recorded, and the success rate was evaluated.
Results
The technical and clinical success rates were 100%. In six cases, both the CA and superior mesenteric artery (SMA) were cannulated using two parent catheters: a microcatheter advancing to the pseudoaneurysm from the CA (the CA approach) to achieve embolization and another catheter for angiography advancing from the SMA to map the vascular anatomy. In five cases, the CA approach was successfully performed after failed attempts of advancing a microcatheter from the SMA.
Conclusion
TAE is an effective treatment for bleeding from the PDA in patients with CA stenosis. Using two parent catheters, one for CA cannulation and microcatheter advancement and another for SMA cannulation and vascular mapping, may be a useful technique.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><doi>10.1177/20584601221135180</doi><orcidid>https://orcid.org/0000-0001-5783-8048</orcidid><orcidid>https://orcid.org/0000-0002-6747-9859</orcidid><orcidid>https://orcid.org/0000-0002-1789-7390</orcidid><orcidid>https://orcid.org/0000-0003-0688-2190</orcidid><orcidid>https://orcid.org/0000-0002-7303-1532</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2058-4601 |
| ispartof | Acta radiologica open, 2022-10, Vol.11 (10), p.205846012211351-20584601221135180 |
| issn | 2058-4601 2058-4601 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9597204 |
| source | DOAJ Directory of Open Access Journals; Sage Journals GOLD Open Access 2024; EZB-FREE-00999 freely available EZB journals; PubMed Central; PubMed Central Open Access |
| subjects | Angiography Bleeding Cannulation Catheters Compression Embolization Medical instruments Patients Pseudoaneurysm Stenosis Success Technique (CT/MR) Veins & arteries |
| title | Transcatheter arterial embolization for bleeding from the pancreaticoduodenal artery in patients with celiac artery stenosis: A technical report |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-08T18%3A23%3A22IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Transcatheter%20arterial%20embolization%20for%20bleeding%20from%20the%20pancreaticoduodenal%20artery%20in%20patients%20with%20celiac%20artery%20stenosis:%20A%20technical%20report&rft.jtitle=Acta%20radiologica%20open&rft.au=Onishi,%20Yasuyuki&rft.date=2022-10-01&rft.volume=11&rft.issue=10&rft.spage=205846012211351&rft.epage=20584601221135180&rft.pages=205846012211351-20584601221135180&rft.issn=2058-4601&rft.eissn=2058-4601&rft_id=info:doi/10.1177/20584601221135180&rft_dat=%3Cproquest_pubme%3E2730645186%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2730537516&rft_id=info:pmid/&rft_sage_id=10.1177_20584601221135180&rfr_iscdi=true |