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Treatment Options for Celiac Stenosis and Pancreaticoduodenal Artery Aneurysms. 2017
Yuriko Takeuchi, and
Noriyasu Morikage, and
Makoto Samura, and
Takasuke Harada, and
Osamu Yamashita, and
Kotaro Suehiro, and
Munemasa Okada, and
Kimikazu Hamano
Department of Surgery and Clinical Science, Division of Vascular Surgery, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan.
Celiac stenosis may result in a pancreaticoduodenal artery aneurysm (PDAA). Celiac stenosis with a PDAA is rare and treatment guidelines are absent. Here, we report 4 cases of celiac stenosis treated using different methods. Of these, 3 involved PDAAs. The PDAAs were successfully treated with coil embolization. For celiac stenosis, we performed open surgery for decompression in 1 patient, stenting in 2 patients, and bypass grafting in 1 patient. In the patients who underwent stenting, stent-associated thrombosis occurred. PDAAs can be treated with coil embolization; however, treatment of celiac stenosis with the endovascular approach might be difficult.
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