与卷收拾行李和 stent 放置治疗的劣等的 pancreaticoduodenal 动脉动脉瘤

• 作者: Akira Ikoma Hiroki Minamiguchi Hiroki Sanda Kouhei Nakata Morio Sato Motoki Nakai Nobuyuki Kawai Takami Tanaka Tetsuo Sonomura
• 来源期刊: 世界放射学杂志：英文版（电子版）
• 学科: 医学
• 关键词: Pancreaticoduodenal arterial ANEURYSM Superior MESENTERIC artery stenosis Balloon ANGIOPLASTY STENT placement Coil packing PULL-THROUGH technique
• 年，卷（期）: 2012,（8）
• 页码范围: 387-390
• 页数: 4页
• 分类号: R735.31

摘要

Two cases with a pancreaticoduodenal arterial aneurysm accompanied with superior mesenteric artery(SMA) stenosis were previously described and both were treated surgically.However,for interventional treatment,securing a sufficient blood supply to the SMA should be a priority of treatment.We present the case of a 71-year-old male with a 20 mm diameter pancreaticoduodenal arterial aneurysm accompanied by SMA stenosis at its origin.The guidewire traverse from SMA to the aneurysm was difficult because of the tight SMA stenosis;however,the guidewire traverse from the celiac artery was finally successful and was followed by balloon angioplasty using a pull-through technique,leading to stent placement.Thereafter,coil packing through the SMA achieved eradication of the aneurysm without bowel ischemia.At the last follow-up computed tomography 8 mo later,no recurrence of the aneurysm was confirmed.The pull-through technique was useful for angioplasty for tight SMA stenosis in this case.