Embolization using both n-butyl cyanoacrylate and gelatin sponges in a patient with a posterior superior pancreaticoduodenal artery pseudoaneurysm that ruptured and bled into the drain tube

Fumiaki Fukamatsu, MD; Keiichi Yamada, MD; Daiya Takekoshi, MD; Takanori Aonuma, MD; Kazuki Oyama, MD; Shin Yanagisawa, MD, PhD; Akira Yamada, MD, PhD; Akira Shimizu, MD, PhD; Yasunari Fujinaga, MD, PhD

Radiology Case Reports (Mar 2024)

Embolization using both n-butyl cyanoacrylate and gelatin sponges in a patient with a posterior superior pancreaticoduodenal artery pseudoaneurysm that ruptured and bled into the drain tube

Fumiaki Fukamatsu, MD,
Keiichi Yamada, MD,
Daiya Takekoshi, MD,
Takanori Aonuma, MD,
Kazuki Oyama, MD,
Shin Yanagisawa, MD, PhD,
Akira Yamada, MD, PhD,
Akira Shimizu, MD, PhD,
Yasunari Fujinaga, MD, PhD

Affiliations

Fumiaki Fukamatsu, MD: Department of Radiology, Shinshu University School of Medicine,3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan; Corresponding author.
Keiichi Yamada, MD: Department of Radiology, Shinshu University School of Medicine,3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan
Daiya Takekoshi, MD: Department of Radiology, Shinshu University School of Medicine,3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan
Takanori Aonuma, MD: Department of Radiology, Shinshu University School of Medicine,3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan
Kazuki Oyama, MD: Department of Radiology, Shinshu University School of Medicine,3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan
Shin Yanagisawa, MD, PhD: Department of Radiology, Shinshu University School of Medicine,3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan
Akira Yamada, MD, PhD: Department of Radiology, Shinshu University School of Medicine,3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan
Akira Shimizu, MD, PhD: Division of Gastroenterological, Hepato-Biliary-Pancreatic, Transplantation, and Pediatric Surgery, Department of Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan
Yasunari Fujinaga, MD, PhD: Department of Radiology, Shinshu University School of Medicine,3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan

Journal volume & issue: Vol. 19, no. 3
pp. 876 – 880

Abstract

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Transcatheter arterial embolization is a useful treatment for postpancreatectomy hemorrhage, a severe complication of pancreatic surgery. N-butyl cyanoacrylate is a liquid and permanent embolic material that is widely used in transcatheter arterial embolization. However, its use can lead to the adherence of the catheter to the vessel wall and occlusion of the catheter lumen. This case report presents the case of a 63-year-old man with a postpancreatectomy posterior superior pancreaticoduodenal artery pseudoaneurysm, which ruptured and bled into a drain tube. The patient underwent transcatheter arterial embolization using N-butyl cyanoacrylate and a gelatin sponge without the incidence of adherence or occlusion of the drain tube. Gelatin sponge, which was used as a temporary embolic material, was effective in preventing the drain tube from adhering and occluding.

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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