Usefulness of a distal access catheter in embolization of a short gastric artery pseudoaneurysm

Yasuyuki Onishi, MD; Hiroyuki Kimura, MD, PhD; Mitsunori Kanagaki, MD, PhD; Shojiro Oka, MD; Genki Fukumoto, MD; Tomoaki Otani, MD; Naoko Matsubara, MD; Kazuna Kawabata, MD, PhD; Mio Namikawa, MD; Toshiyuki Kimura, MD, PhD

Radiology Case Reports (Jan 2019)

Usefulness of a distal access catheter in embolization of a short gastric artery pseudoaneurysm

Yasuyuki Onishi, MD,
Hiroyuki Kimura, MD, PhD,
Mitsunori Kanagaki, MD, PhD,
Shojiro Oka, MD,
Genki Fukumoto, MD,
Tomoaki Otani, MD,
Naoko Matsubara, MD,
Kazuna Kawabata, MD, PhD,
Mio Namikawa, MD,
Toshiyuki Kimura, MD, PhD

Affiliations

Yasuyuki Onishi, MD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashinaniwa-cho, 660-8550 Amagasaki, Japan; Corresponding author.
Hiroyuki Kimura, MD, PhD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashinaniwa-cho, 660-8550 Amagasaki, Japan
Mitsunori Kanagaki, MD, PhD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashinaniwa-cho, 660-8550 Amagasaki, Japan
Shojiro Oka, MD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashinaniwa-cho, 660-8550 Amagasaki, Japan
Genki Fukumoto, MD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashinaniwa-cho, 660-8550 Amagasaki, Japan
Tomoaki Otani, MD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashinaniwa-cho, 660-8550 Amagasaki, Japan
Naoko Matsubara, MD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashinaniwa-cho, 660-8550 Amagasaki, Japan
Kazuna Kawabata, MD, PhD: Department of Diagnostic Radiology, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashinaniwa-cho, 660-8550 Amagasaki, Japan
Mio Namikawa, MD: Department of Gastroenterology, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashinaniwa-cho, 660-8550 Amagasaki , Japan
Toshiyuki Kimura, MD, PhD: Department of Gastroenterology, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77 Higashinaniwa-cho, 660-8550 Amagasaki , Japan

Journal volume & issue: Vol. 14, no. 1
pp. 69 – 71

Abstract

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A 59-year-old man was admitted to our hospital for hematemesis. A hematoma was found in the posterior wall of the stomach, but the source of bleeding was not identified. One month later, contrast-enhanced computed tomography revealed a pseudoaneurysm in the short gastric artery. Embolization of the pseudoaneurysm was difficult due to vessel tortuosity. Usage of a distal access catheter improved catheter stability and enabled successful embolization. We consider a distal access catheter to be useful for embolization of an aneurysm beyond a tortuous artery. Keywords: Short gastric artery, Pseudoaneurysm, Embolization, Distal access catheter

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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