PMID- 15719185 OWN - NLM STAT- MEDLINE DCOM- 20050601 LR - 20051116 IS - 0174-1551 (Print) IS - 0174-1551 (Linking) VI - 28 IP - 2 DP - 2005 Mar-Apr TI - Transcatheter coil embolization of an aneurysm of the pancreatico-duodenal artery with occluded celiac trunk. PG - 259-61 AB - We report on a case of a wide-necked aneurysm of the pancreatico-duodenal artery with occlusion of the celiac trunk in an asymptomatic patient. The aneurysm was considered to be at high risk of rupture. Successful embolization after interdisciplinary consultation was followed with color-coded duplex ultrasound (CCDS) demonstrating significant flow reduction. Three weeks later CCDS and angiography demonstrated exclusion of the aneurysm and a patent arterial supply of the liver and spleen fed by superior mesenteric artery (SMA) collaterals. The patient has done well so far, without major adverse clinical events or evidence for tissue necrosis of the liver, pancreas or spleen. Discussion of the case and review of the literature indicate that transcatheter embolization is the therapy of choice even in complicated cases. FAU - Weber, C H AU - Weber CH AD - Institute of Clinical Radiology, LMU Munich, Pettenkoferstrasse 8a, 80336 Munich, Germany. Christof.Weber@med.uni-muenchen.de FAU - Pfeifer, K J AU - Pfeifer KJ FAU - Tato, F AU - Tato F FAU - Reiser, M AU - Reiser M FAU - Rieger, J AU - Rieger J LA - eng PT - Case Reports PT - Journal Article PT - Review PL - United States TA - Cardiovasc Intervent Radiol JT - Cardiovascular and interventional radiology JID - 8003538 SB - IM MH - Aged MH - Aneurysm/*therapy MH - Angiography MH - Arterial Occlusive Diseases/*complications MH - Arteries MH - Celiac Artery/*pathology MH - Collateral Circulation/physiology MH - Duodenum/*blood supply MH - Embolization, Therapeutic/*methods MH - Female MH - Follow-Up Studies MH - Humans MH - Liver Circulation/physiology MH - Mesenteric Artery, Superior/physiology MH - Pancreas/*blood supply MH - Spleen/blood supply MH - Ultrasonography, Doppler, Color MH - Ultrasonography, Doppler, Duplex RF - 15 EDAT- 2005/02/19 09:00 MHDA- 2005/06/02 09:00 CRDT- 2005/02/19 09:00 PHST- 2005/02/19 09:00 [pubmed] PHST- 2005/06/02 09:00 [medline] PHST- 2005/02/19 09:00 [entrez] AID - 10.1007/s00270-004-0116-3 [doi] PST - ppublish SO - Cardiovasc Intervent Radiol. 2005 Mar-Apr;28(2):259-61. doi: 10.1007/s00270-004-0116-3.