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Treatment Options for Celiac Stenosis and Pancreaticoduodenal Artery Aneurysms

Yuriko Takeuchi1, Noriyasu Morikage1, Makoto Samura1

  • 1Department of Surgery and Clinical Science, Division of Vascular Surgery, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan.

Annals of Vascular Surgery
|February 28, 2017
PubMed

Insights

Celiac stenosis can lead to pancreaticoduodenal artery aneurysms (PDAAs). While PDAAs are treatable with coil embolization, endovascular treatment for celiac stenosis poses challenges.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology

Background:

  • Celiac stenosis is a rare condition that can cause pancreaticoduodenal artery aneurysms (PDAAs).
  • No established treatment guidelines exist for managing celiac stenosis with PDAA.

Observation:

  • This study reports on four patients with celiac stenosis, three of whom also had PDAAs.
  • PDAAs were successfully treated using coil embolization.
  • Celiac stenosis was managed with open surgery (decompression), stenting, or bypass grafting.

Findings:

  • Coil embolization proved effective for treating PDAAs.
  • Stenting for celiac stenosis resulted in stent-associated thrombosis in two patients.
  • Endovascular approaches for celiac stenosis may present difficulties.

Implications:

  • Coil embolization is a viable option for PDAAs associated with celiac stenosis.
  • Endovascular treatment of celiac stenosis requires careful consideration due to potential complications like thrombosis.
  • Further research is needed to establish optimal treatment strategies for combined celiac stenosis and PDAA.

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