Management of inferior pancreaticoduodenal artery aneurysms: A 4-year, single center experience

Karl S. Chiang, C. Michael Johnson, Michael A. McKusick, Timothy Maus, Anthony W. Stanson

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Inferior pancreaticoduodenal artery aneurysms are uncommon visceral artery aneurysms usually difficult to resect, and, if untreated, have a propensity to rupture with catastrophic results. We reviewed the clinical and treatment records of four patients encountered in our institution within the last 4 years. Three patients presented as bleeding emergencies from single aneurysms and were successfully treated by transcatheter embolization using coaxial technique and a variety of embolic agents. One nonemergent, asymptomatic patient had surgical resection of two inferior pancreaticoduodenal artery aneurysms due to unfavorable anatomy for embolization. Embolization therapy appears to be the treatment of choice in the emergency setting. Patients with unsuitable anatomy for embolization may still re quire surgical intervention.

Original languageEnglish (US)
Pages (from-to)217-221
Number of pages5
JournalCardioVascular and Interventional Radiology
Volume17
Issue number4
DOIs
StatePublished - Jul 1994

Fingerprint

Aneurysm
Arteries
Anatomy
Emergencies
Rupture
Therapeutics
Hemorrhage

Keywords

  • Angiography
  • Co-axial catheter technique
  • Embolization
  • Inferior pancreaticoduodenal artery aneurysms
  • Rheumatoid vasculitis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Management of inferior pancreaticoduodenal artery aneurysms : A 4-year, single center experience. / Chiang, Karl S.; Johnson, C. Michael; McKusick, Michael A.; Maus, Timothy; Stanson, Anthony W.

In: CardioVascular and Interventional Radiology, Vol. 17, No. 4, 07.1994, p. 217-221.

Research output: Contribution to journalArticle

Chiang, Karl S. ; Johnson, C. Michael ; McKusick, Michael A. ; Maus, Timothy ; Stanson, Anthony W. / Management of inferior pancreaticoduodenal artery aneurysms : A 4-year, single center experience. In: CardioVascular and Interventional Radiology. 1994 ; Vol. 17, No. 4. pp. 217-221.
@article{d13d3dd30c0f44d89897c4da60770286,
title = "Management of inferior pancreaticoduodenal artery aneurysms: A 4-year, single center experience",
abstract = "Inferior pancreaticoduodenal artery aneurysms are uncommon visceral artery aneurysms usually difficult to resect, and, if untreated, have a propensity to rupture with catastrophic results. We reviewed the clinical and treatment records of four patients encountered in our institution within the last 4 years. Three patients presented as bleeding emergencies from single aneurysms and were successfully treated by transcatheter embolization using coaxial technique and a variety of embolic agents. One nonemergent, asymptomatic patient had surgical resection of two inferior pancreaticoduodenal artery aneurysms due to unfavorable anatomy for embolization. Embolization therapy appears to be the treatment of choice in the emergency setting. Patients with unsuitable anatomy for embolization may still re quire surgical intervention.",
keywords = "Angiography, Co-axial catheter technique, Embolization, Inferior pancreaticoduodenal artery aneurysms, Rheumatoid vasculitis",
author = "Chiang, {Karl S.} and Johnson, {C. Michael} and McKusick, {Michael A.} and Timothy Maus and Stanson, {Anthony W.}",
year = "1994",
month = "7",
doi = "10.1007/BF00571539",
language = "English (US)",
volume = "17",
pages = "217--221",
journal = "CardioVascular and Interventional Radiology",
issn = "7415-5101",
publisher = "Springer Verlag",
number = "4",

}

TY - JOUR

T1 - Management of inferior pancreaticoduodenal artery aneurysms

T2 - A 4-year, single center experience

AU - Chiang, Karl S.

AU - Johnson, C. Michael

AU - McKusick, Michael A.

AU - Maus, Timothy

AU - Stanson, Anthony W.

PY - 1994/7

Y1 - 1994/7

N2 - Inferior pancreaticoduodenal artery aneurysms are uncommon visceral artery aneurysms usually difficult to resect, and, if untreated, have a propensity to rupture with catastrophic results. We reviewed the clinical and treatment records of four patients encountered in our institution within the last 4 years. Three patients presented as bleeding emergencies from single aneurysms and were successfully treated by transcatheter embolization using coaxial technique and a variety of embolic agents. One nonemergent, asymptomatic patient had surgical resection of two inferior pancreaticoduodenal artery aneurysms due to unfavorable anatomy for embolization. Embolization therapy appears to be the treatment of choice in the emergency setting. Patients with unsuitable anatomy for embolization may still re quire surgical intervention.

AB - Inferior pancreaticoduodenal artery aneurysms are uncommon visceral artery aneurysms usually difficult to resect, and, if untreated, have a propensity to rupture with catastrophic results. We reviewed the clinical and treatment records of four patients encountered in our institution within the last 4 years. Three patients presented as bleeding emergencies from single aneurysms and were successfully treated by transcatheter embolization using coaxial technique and a variety of embolic agents. One nonemergent, asymptomatic patient had surgical resection of two inferior pancreaticoduodenal artery aneurysms due to unfavorable anatomy for embolization. Embolization therapy appears to be the treatment of choice in the emergency setting. Patients with unsuitable anatomy for embolization may still re quire surgical intervention.

KW - Angiography

KW - Co-axial catheter technique

KW - Embolization

KW - Inferior pancreaticoduodenal artery aneurysms

KW - Rheumatoid vasculitis

UR - http://www.scopus.com/inward/record.url?scp=0028229467&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0028229467&partnerID=8YFLogxK

U2 - 10.1007/BF00571539

DO - 10.1007/BF00571539

M3 - Article

C2 - 7954578

AN - SCOPUS:0028229467

VL - 17

SP - 217

EP - 221

JO - CardioVascular and Interventional Radiology

JF - CardioVascular and Interventional Radiology

SN - 7415-5101

IS - 4

ER -