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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2023; 07(03): 194-196
DOI: 10.1055/s-0042-1758051
Case Report

Recurrent IPDA Aneurysm from Celiac Occlusion Treated by a Flow Diverting Stent

Divya Kumari
1   Department of Radiology, Vascular and Interventional Radiology, University of Chicago Medicine, Chicago, Illinois, United States
,
Brian Funaki
1   Department of Radiology, Vascular and Interventional Radiology, University of Chicago Medicine, Chicago, Illinois, United States
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Abstract

Inferior pancreaticoduodenal artery (IPDA) aneurysms have been associated with celiac axis stenosis and occlusion. Retrograde flow through the IPDA arcade has been hypothesized to cause enlargement of these vessels and lead to aneurysm formation. However, objective proof of this hypothesis is lacking, given the fact that celiac stenosis or occlusion and IPDA aneurysms are typically diagnosed concurrently and recurrent aneurysms have not been described. This report presents a patient with celiac axis stenosis and an IPDA aneurysm treated with median arcuate ligament lysis, celiac stenting, and aneurysmectomy. Seventeen years later, he developed a second IPDA aneurysm treated with a flow diverting stent.

Keywords

mesenteric aneurysm - celiac stenosis - flow diverting stent


Publication History

Article published online:
09 November 2022

© 2022. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Kalva SP, Athanasoulis CA, Greenfield AJ. et al. Inferior pancreaticoduodenal artery aneurysms in association with celiac axis stenosis or occlusion. Eur J Vasc Endovasc Surg 2007; 33 (06) 670-675
    CrossrefPubMedGoogle Scholar
  • 2 Kallamadi R, Demoya MA, Kalva SP. Inferior pancreaticoduodenal artery aneurysms in association with celiac stenosis/occlusion. Semin Intervent Radiol 2009; 26 (03) 215-223
    Article in Thieme ConnectPubMedGoogle Scholar
  • 3 Antoniak R, Grabowska-Derlatka L, Nawrot I, Cieszanowski A, Rowiński O. Aneurysms of peripancreatic arterial arcades coexisting with celiac trunk stenosis or occlusion: single institution experience. BioMed Res Int 2017; 2017: 1645013 DOI: 10.1155/2017/1645013.
    CrossrefPubMedGoogle Scholar
  • 4 Degheili JA, El Chediak A, Dergham MYR, Al-Kutoubi A, Hallal AH. Pancreaticoduodenal artery aneurysm associated with celiac trunk stenosis: case illustration and literature review. Case Rep Radiol 2017; 2017: 6989673 DOI: 10.1155/2017/6989673.
    CrossrefPubMedGoogle Scholar
  • 5 Shin DS, Carroll CP, Elghareeb M, Hoh BL, Kim BT. The evolution of flow-diverting stents for cerebral aneurysms; historical review, modern application, complications, and future direction. J Korean Neurosurg Soc 2020; 63 (02) 137-152
    CrossrefPubMedGoogle Scholar