Celiac artery stenting: a new strategy for patients with pancreaticoduodenal artery aneurysm associated with stenosis of the celiac artery

Yu-Wen Tien, Mamoru; Hsien-Li Kao, Mamoru; Hsiu-Po Wang
January 2004
Journal of Gastroenterology;2004, Vol. 39 Issue 1, p81
Academic Journal
We report a new strategy—celiac artery stenting—to relieve stenosis of the celiac arterial root. This was performed in two patients with pancreaticoduodenal artery (PDA) aneurysm associated with a stenotic celiac arterial root. The first patient was a 66-year-old man complaining of abrupt onset of upper abdominal pain. Abdominal computed tomography revealed a huge retroperitoneal hematoma behind the duodenum, and superior mesenteric artery (SMA) angiography demonstrated an aneurysm arising from inferior pancreaticoduodenal artery and celiac arteriography showed a stenotic celiac arterial root. Transcatheter embolization of the aneurysm was tried, but failed. Because of his unstable hemodynamics, emergent laparotomy with resection of the aneurysm was performed. Fourteen days after the operation, percutaneous transluminal angioplasty with celiac arterial stenting was done. The patient was discharged 2 days later, and has had no further bleeding episode for 3 years. The second patient was a 46-year-old woman, who also complained of acute upper abdominal pain. Abdominal computed tomography disclosed a huge retroperitoneal hematoma, and selective SMA angiography demonstrated an aneurysm arising from the inferior pancreaticoduodenal artery, and celiac arteriography showed a stenotic celiac arterial root. Because angiography showed no active bleeding from the aneurysm, percutaneous transluminal angioplastic stenting of the stenotic celiac artery was performed. She was discharged 5 days later and has had no further bleeding episode for 2 years. Celiac arterial stenting, as shown in our two patients, could be easily and safely employed in patients with PDA aneurysm associated with a stenotic celiac arterial root to release the stenosis of the celiac arterial root and to prevent further possible bleeding.


Related Articles

  • Successful stenting for renal artery stenosis in a patient with Alagille syndrome. Hirai, Haruhiko; Santo, Yoko; Kogaki, Shigetoyo; Kurotobi, Shunji; Etani, Yuri; Mushiake, Sotaro; Nakatsuchi, Yoshiaki; Nakajima, Shigeo; Ozono, Keiichi // Pediatric Nephrology;Jun2005, Vol. 20 Issue 6, p831 

    A 12-year-old girl with Alagille syndrome manifested severe hypertension caused by renal artery stenosis in a solitary functioning kidney. Percutaneous transluminal angioplasty (PTA) and stenting was performed, but the hypertension persisted. On the next day, acute renal failure occurred with...

  • CORONARY ARTERY DISEASE -- RESTENOSIS.  // Current Medical Literature: Interventional Cardiology Monitor;2004, Vol. 11 Issue 1, p26 

    Discusses the study "A randomized comparison of repeat stenting with balloon angioplasty in patients with in-stent restenosis," conducted by F. Alfonson, et al, and published in the "Journal of American College Cardiology" in 2003. Similarity of procedural success in both groups; Binary...

  • Rupture of the Renal Artery After Cutting Balloon Angioplasty in a Young Woman With Fibromuscular Dysplasia. Oguzkurt, Levent; Tercan, Fahri; Gulcan, Oner; Turkoz, Riza // CardioVascular & Interventional Radiology;May2005, Vol. 28 Issue 3, p360 

    A 24-year-old woman with uncontrollable high blood pressure for 3 months had significant stenosis of the left renal artery caused by fibromuscular dysplasia (FMD). The lesion was resistant to percutaneous transluminal angioplasty at 18 atm with a semicompliant balloon. Angioplasy with a 6 ×...

  • Late Acute Thrombotic Occlusion After Endovascular Brachytherapy and Stenting of Femoropopliteal Arteries. Sidawy, Anton N.; Weiswasser, Jonathan M. // Perspectives in Vascular Surgery & Endovascular Therapy;Jan2004, Vol. 16 Issue 1, p81 

    Restenosis after angioplasty ranges from 15% to 50%. Endovascular brachytherapy (EVBT) is a promising modality to reduce restenosis, but late acute thrombotic occlusion (LATO) is reported following EVBT. The authors evaluated a combined prevention strategy on restenosis after percutaneous...

  • Balloon angioplasty versus primary stenting of ostial atherosclerotic renal arterial stenoses: critically appraised topic. Thipphavong, Seng; Milward, Steven F.; Elliott, James A. // Canadian Association of Radiologists Journal;Apr2004, Vol. 55 Issue 2, p108 

    Compares the effectiveness of percutaneous transluminal angioplasty and primary stenting for the treatment of ostial atherosclerotic renal arterial stenosis. Complication rates; Clinical improvement of hypertension and renal failure; Safety.

  • Direct coronary stenting in reducing radiation and radiocontrast consumption.  // Radiology & Oncology;2010, Vol. 44 Issue 3, p153 

    No abstract available.

  • Percutaneous interventional reconstruction of the iliac arteries: primary and long-term success rate in selected TASC C and D lesions. Balzer, Jörn O.; Gastinger, Verena; Ritter, Ralf; Herzog, Christopher; Mack, Martin G.; Schmitz-Rixen, Thomas; Vogl, Thomas J. // European Radiology;Jan2006, Vol. 16 Issue 1, p124 

    We report the primary and long-term outcome of patients with selected TransAtlantic Inter-Society Consensus (TASC) C or D lesions of the iliac arteries after percutaneous interventional reconstruction. Between 1999 and 2001, 89 patients with peripheral arterial disease categorized as TASC C (...

  • Provisional side branch stenting: presentation of an automated method allowing online 3D OCT guidance. Ughi, Giovanni Jacopo; Dubois, Christophe; Desmet, Walter; D'hooge, Jan; Adriaenssens, Tom // European Heart Journal - Cardiovascular Imaging;Jul2013, Vol. 14 Issue 7, p715 

    The article describes a case of provisional side branch stenting in a 58-year-old man. Three-dimensional optical coherence tomography (OCT) reconstructions were performed offline using a previously developed algorithm. The case is said to indicate that automated 3D visualization of intravascular...

  • Waiving fees/giving concessions to patients -- Caution and contemplation required.  // Medical Law Cases for Doctors;Apr2014, Vol. 7 Issue 4, p19 

    The article discusses the Indian court case Fortis Escorts Hospital & Ors. v/s Jagir Singh wherein the patient who went through Percutaneous transluminal coronary angioplasty later found that the mid-left anterior descending (LAD) artery area was not stented due to the negligence of the doctors....


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics