Successful endovascular treatment of a recurrent giant celiac artery aneurysm

A. Borzelli, MD; F. Amodio, MD; A. Paladini, MD; G. de Magistris, MD; F. Giurazza, MD; M. Silvestre, MD; F. Corvino, MD; A. Corvino, MD; G. Frauenfelder, MD; F. Pane, MD; M. Coppola, MD; D. Beomonte Zobel, MD; L. Paladini, MD; E.M. Amodeo, MD; E. Cavaglià, MD; R. Niola, MD

Radiology Case Reports (Jun 2019)

Successful endovascular treatment of a recurrent giant celiac artery aneurysm

A. Borzelli, MD,
F. Amodio, MD,
A. Paladini, MD,
G. de Magistris, MD,
F. Giurazza, MD,
M. Silvestre, MD,
F. Corvino, MD,
A. Corvino, MD,
G. Frauenfelder, MD,
F. Pane, MD,
M. Coppola, MD,
D. Beomonte Zobel, MD,
L. Paladini, MD,
E.M. Amodeo, MD,
E. Cavaglià, MD,
R. Niola, MD

Affiliations

A. Borzelli, MD: Department of Interventional Radiology, AORN ``A. Cardarelli'', Via A. Cardarelli 9, 80131 Naples, Italy; Corresponding author.
F. Amodio, MD: Department of Interventional Radiology, AORN ``A. Cardarelli'', Via A. Cardarelli 9, 80131 Naples, Italy
A. Paladini, MD: Department of Services Diagnosis and Therapies, Radiology Institute, Maggiore della Carità Hospital, University of Eastern Piedmont - UPO University, Corso G. Mazzini 18, 28100 Novara, Italy
G. de Magistris, MD: Department of Interventional Radiology, AORN ``A. Cardarelli'', Via A. Cardarelli 9, 80131 Naples, Italy
F. Giurazza, MD: Department of Interventional Radiology, AORN ``A. Cardarelli'', Via A. Cardarelli 9, 80131 Naples, Italy
M. Silvestre, MD: Department of Interventional Radiology, AORN ``A. Cardarelli'', Via A. Cardarelli 9, 80131 Naples, Italy
F. Corvino, MD: Department of Interventional Radiology, AORN ``A. Cardarelli'', Via A. Cardarelli 9, 80131 Naples, Italy
A. Corvino, MD: Dipartimento di scienze biomediche avanzate, Università degli studi di Napoli “Federico II”, Via S.Pansini, 80131 Naples, Italy
G. Frauenfelder, MD: Department of Radiology, Campus Bio-medico University, Via Alvaro del Portillo, 200, 00100 Rome, Italy
F. Pane, MD: Dipartimento di scienze biomediche avanzate, Università degli studi di Napoli “Federico II”, Via S.Pansini, 80131 Naples, Italy
M. Coppola, MD: Dipartimento di scienze biomediche avanzate, Università degli studi di Napoli “Federico II”, Via S.Pansini, 80131 Naples, Italy
D. Beomonte Zobel, MD: Division of Interventional Radiology, IFO Regina Elena National Cancer Institute, Via Elio Chianesi, 53, 00144 Rome, Italy
L. Paladini, MD: Università Cattolica del Sacro Cuore, Rome- Fondazione Gemelli, Rome, Italy
E.M. Amodeo, MD: Università Cattolica del Sacro Cuore, Rome- Fondazione Gemelli, Rome, Italy
E. Cavaglià, MD: Department of Interventional Radiology, AORN ``A. Cardarelli'', Via A. Cardarelli 9, 80131 Naples, Italy
R. Niola, MD: Department of Interventional Radiology, AORN ``A. Cardarelli'', Via A. Cardarelli 9, 80131 Naples, Italy

Journal volume & issue: Vol. 14, no. 6
pp. 723 – 728

Abstract

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Visceral artery aneurysms are very rare and aneurysms of the celiac trunk are the rarest ones: they are in most cases asymptomatic and their detection is frequently incidental. In this article we report the case of a man affected by severe abdominal pain with a huge aneurysm of the celiac trunk, first successfully treated with coil embolization, but, after 10 months, another endovascular embolization was required for deployment of the metallic coils previously released, ahead into the fund of the sac with recanalization of the aneurysm. A second endovascular treatment was performed with other coils and Amplatzer-Plug. The high risk of rupture makes treatment of such aneurysms mandatory and surgery is still considered the gold standard therapy of VAA, but, due to its high morbidity and mortality risks, in the last years, it has been widely replaced by endovascular embolization. An effective endovascular embolization requires not only the complete filling of the aneurysmal sac, but also the complete vascular exclusion of its in-flow and out-flow tracts, to reduce the risk of its anterograde or retrograde reperfusion. Keywords: Celiac artery aneurysm, Visceral artery aneurysm, Endovascular embolization

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: http://www.journals.elsevier.com/radiology-case-reports/

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