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CardioVascular and Interventional Radiology

Erschienen in:

08.08.2024 | Clinical Investigation

Endovascular Treatment of Unruptured Pancreatic Arcade Aneurysms

verfasst von: Yoshitaka Tamura, Hiro Kiyosue, Osamu Ikeda, Hidetaka Hayashi, Goh Sasaki, Toshinori Hirai

Erschienen in: CardioVascular and Interventional Radiology | Ausgabe 9/2024

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Abstract

Purpose

This study aimed to assess the safety and efficacy of endovascular treatment of unruptured pancreatic arcade aneurysms in a single-center series.

Materials and Methods

The electronic medical records of patients who underwent endovascular treatment for unruptured pancreatic arcade aneurysms between 2011 and 2022 at our tertiary center were retrospectively reviewed. The presence of celiac artery stenosis/occlusion; aneurysm number, location, and size; endovascular technique; procedure-related complication incidence; and clinical outcomes were assessed.

Results

Twenty-three patients (12 men and 11 women; mean [range] age, 63.8 [45–84] years) with 33 unruptured pancreatic arcade aneurysms were identified. Celiac artery stenosis/occlusion coexisted in 17 (74%) patients. Five (21%) patients had multiple aneurysms. The median aneurysm size was 9.3 mm (range, 4–18 mm). Seven, 6, 6, 5, 4, 3, and 2 aneurysms were located in the gastroduodenal, dorsal pancreatic, anterior superior pancreaticoduodenal, inferior pancreaticoduodenal, posterior inferior pancreaticoduodenal, posterior superior pancreaticoduodenal, and anterior inferior pancreaticoduodenal arteries, respectively. Four (15%) and 22 (85%) aneurysms were treated with endosaccular packing alone and coil embolization with endosaccular packing and parent artery occlusion, respectively, with resulting exclusion from arterial circulation. The remaining 7 aneurysms coexisting with larger aneurysms in other peripancreatic arteries were observed without embolization because they were small and for preserving collateral blood flow to the celiac artery. The treated aneurysms did not rupture or recur during the follow-up period (median, 40 months).

Conclusion

Endovascular treatment is a safe and effective treatment for unruptured pancreatic arcade aneurysms.

Level of Evidence: 3, non-controlled retrospective cohort study.

Graphical Abstract

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Titel: Endovascular Treatment of Unruptured Pancreatic Arcade Aneurysms
verfasst von: Yoshitaka Tamura
Hiro Kiyosue
Osamu Ikeda
Hidetaka Hayashi
Goh Sasaki
Toshinori Hirai
Publikationsdatum: 08.08.2024
Verlag: Springer US
Erschienen in: CardioVascular and Interventional Radiology / Ausgabe 9/2024
Print ISSN: 0174-1551
Elektronische ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-024-03824-8

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Endovascular Treatment of Unruptured Pancreatic Arcade Aneurysms