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Successful percutaneous embolization of a symptomatic celiac artery dissection with aneurysmal dilation with
1Division of Vascular Surgery, Graduate School of Medicine, University of Nice-Sophia-Antipolis, Nice, France. batt.m@chu-nice.fr
Insights
A 43-year-old man experienced shock from acute abdominal pain. Endovascular repair using vascular plugs successfully occluded a celiac artery dissection and aneurysm, showing complete closure at 9 months.
Area of Science:
- Vascular Surgery
- Interventional Radiology
Background:
- Celiac artery dissection is a rare but serious condition that can lead to abdominal pain and shock.
- Endovascular techniques offer a minimally invasive approach for managing complex vascular pathologies.
Observation:
- A 43-year-old male presented with acute abdominal pain and shock, initially without evidence of active bleeding.
- Computed tomography revealed a celiac artery dissection with an intimal flap and aneurysmal dilation.
Findings:
- The patient underwent successful endovascular management involving upstream and downstream occlusion of the celiac artery aneurysm.
- Coils and detachable vascular plugs were utilized for aneurysm occlusion.
- Post-procedure imaging at 9 months confirmed complete occlusion of the aneurysm.
Implications:
- Detachable vascular plugs offer an efficient, cost-effective, and time-saving method for endovascular aneurysm repair.
- This case highlights the successful application of endovascular techniques in managing celiac artery dissection and associated aneurysms.
- Minimally invasive endovascular repair can lead to favorable long-term outcomes in selected patients.
Abstract:
This report describes a 43-year-old man with a history of acute abdominal pain with shock. Emergency intervention was decided. No evidence of active bleeding was found. A contrast-enhanced computed tomography scan after the intervention revealed a celiac artery dissection with an intimal flap, with associated aneurysmal dilation. The patient was referred to our institution for endovascular management by upstream and downstream occlusion. Coils and detachable vascular plugs were successfully deployed to occlude the aneurysm. Vascular plugs are easy to use, reduce costs, and shorten the duration of the procedure. A contrast-enhanced computed tomography scan at 9 months showed complete occlusion of the aneurysm.
