Transcatheter arterial embolization of a type 2 endoleak through the dorsal pancreatic artery after the hybrid repair of a thoracoabdominal aortic aneurysm: A case report

Motofumi Onishi, MD; Yasuyuki Onishi, MD, PhD; Toshiyuki Noda, MD; Shunsuke Yasuo, MD; Jumpei Kobiki, MD; Yoshio Arai, MD, PhD; Takanori Taniguchi, MD, PhD

Radiology Case Reports (Aug 2023)

Transcatheter arterial embolization of a type 2 endoleak through the dorsal pancreatic artery after the hybrid repair of a thoracoabdominal aortic aneurysm: A case report

Motofumi Onishi, MD,
Yasuyuki Onishi, MD, PhD,
Toshiyuki Noda, MD,
Shunsuke Yasuo, MD,
Jumpei Kobiki, MD,
Yoshio Arai, MD, PhD,
Takanori Taniguchi, MD, PhD

Affiliations

Motofumi Onishi, MD: Department of Radiology, Tenri Hospital, 200 Mishimacho, Tenri, Nara 632-8552, Japan; Corresponding author.
Yasuyuki Onishi, MD, PhD: Department of Radiology, Tenri Hospital, 200 Mishimacho, Tenri, Nara 632-8552, Japan
Toshiyuki Noda, MD: Department of Radiology, Tenri Hospital, 200 Mishimacho, Tenri, Nara 632-8552, Japan
Shunsuke Yasuo, MD: Department of Radiology, Tenri Hospital, 200 Mishimacho, Tenri, Nara 632-8552, Japan
Jumpei Kobiki, MD: Department of Cardiovascular Surgery, Tenri Hospital, Tenri, Nara, Japan
Yoshio Arai, MD, PhD: Department of Cardiovascular Surgery, Tenri Hospital, Tenri, Nara, Japan
Takanori Taniguchi, MD, PhD: Department of Radiology, Tenri Hospital, 200 Mishimacho, Tenri, Nara 632-8552, Japan

Journal volume & issue: Vol. 18, no. 8
pp. 2845 – 2849

Abstract

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An 83-year-old woman with a history of hybrid repair of thoracoabdominal aortic aneurysm presented with enlargement of the aneurysm due to a type 2 endoleak from the celiac artery. The endoleak cavity was accessed via the dorsal pancreatic artery, and embolization using N-butyl cyanoacrylate and coils was successfully performed. When celiac artery branches are embolized during hybrid repair of a thoracoabdominal aortic aneurysm, attention should be paid to the dorsal pancreatic artery to appropriately determine which branches are to be embolized, because a nonembolized dorsal pancreatic artery may lead to type 2 endoleaks.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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