J Korean Radiol Soc.  1998 Nov;39(5):915-920. 10.3348/jkrs.1998.39.5.915.

Significance of Transcatheter Arterial Embolization in the Treatment of Pseudoaneurysm ComplicatingPancreatitis

• Kim SG
• Joo JH
• Oh HY
• Kim YC
• Kim JK
• Jeong YY
• Kang HK

• KMID: 2201144
• DOI: http://doi.org/10.3348/jkrs.1998.39.5.915

Abstract

PURPOSE: To evaluate the significance of transcatheter arterial embolization(TAE) of pseudoaneurysmcomplicating pancreatitis.
MATERIALS AND METHODS
This study was based on a retrospective analysis of eightcases, in which TAE for the control of pseudoaneurysm complicating pancreatitis was attempted. All patients weremales, and were aged between 35 and 65(mean, 47) years. Seven had a history of episodes of chronic pancreatitisand one case was the result of acute pancreatitis. All patients underwent diagnostic angiography andsuperselective embolization.
RESULTS
Arteries in which pseudoaneurysm had occurred were the gastroduodenal(n=5), inferior pancreaticoduodenal (n=1), superior mesenteric artery root (n=1), and the celiac axis (n=1). Sixcases were treated successfully without complications, but in two, embolization failed due to a wide aneurysmalneck arising from the superior mesenteric artery root and celiac axis. In four successful cases, pseudoaneurysmswere completely resolved within three to six months of embolization. One of the other two remained as apseudocyst, while in the other, also a pseudocyst, surgery was performed.
CONCLUSION
Because TAE in patientswith pseudoaneurysm complicating pancreatitis has a high success rate, and also leads to absolute resorption of apseudocyst, TAE is the preferred pre-surgical treatment mode.

Keyword

Arteries, therapeutic blockade; Aneurysm, therapy; Pancreas

MeSH Terms

Aneurysm, False*
Angiography
Arteries
Axis, Cervical Vertebra
Humans
Mesenteric Artery, Superior
Pancreas
Pancreatitis
Retrospective Studies