Stent-Assisted Double Microcatheter Coil Embolization for an Inferior Pancreaticoduodenal Artery Aneurysm after Multiple Stent-Graft Procedures: A Case Report.

IF 0.6 Q4 PERIPHERAL VASCULAR DISEASE
Annals of vascular diseases Pub Date : 2026-01-01 Epub Date: 2026-04-24 DOI:10.3400/avd.cr.26-00021
Yoshiki Yamasaki, Hiroshi Nishimaki, Tsuyoshi Kono, Masahiro Tomita, Satoshi Kinebuchi, Daijun Tomimoto, Masahide Komagamine, Kan Nawata
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引用次数: 0

Abstract

Inferior pancreaticoduodenal artery aneurysms (IPDAAs) are rare visceral aneurysms that may rupture irrespective of size. Here, we report an IPDAA that progressively enlarged after celiac artery (CA) embolization during aortic stent-graft repair. An 84-year-old female developed a wide-necked saccular IPDAA that expanded from 2.5 to 15 mm over 10 years after CA embolization. Stent-assisted coil embolization using the double microcatheter technique was performed to preserve superior mesenteric artery-to-CA collateral flow, achieving a packing density of 31%-45%. This case highlights the need for surveillance after CA embolization and supports the feasibility and effectiveness of this technique in select cases.

支架辅助双微导管线圈栓塞治疗多次支架移植后胰十二指肠下动脉瘤一例报告。
胰十二指肠下动脉动脉瘤(IPDAAs)是一种罕见的内脏动脉瘤,无论大小大小都可能破裂。在这里,我们报告了在主动脉支架修复术中腹腔动脉(CA)栓塞后IPDAA逐渐增大的病例。一名84岁女性在CA栓塞10年后出现宽颈囊性IPDAA,从2.5 mm扩大到15 mm。支架辅助线圈栓塞采用双微导管技术,以保持上肠系膜动脉至ca侧支血流,达到31%-45%的填充密度。本病例强调了CA栓塞后监测的必要性,并支持该技术在特定病例中的可行性和有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annals of vascular diseases
Annals of vascular diseases PERIPHERAL VASCULAR DISEASE-
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