Aneurysm rupture secondary to transcatheter embolization

Percutaneous transcatheter arterial embolization of inferior pancreatico‐duodenal artery aneurysms associated with celiac artery stenosis or occlusion

“…However, embolization of the IPDA aneurysms requires expertise in catheter skills as cannulating the highly tortuous IPDA vessels may be difficult [19]. The complications that may occur with TAE of IPDA aneurysms are intraoperative rupture, visceral ischemia, late recurrence, and recanalization of the IPDA aneurysms [19,20].…”

“…Therefore it was not attempted in our patients. Many studies have shown that there is no or minimal recurrence of IPDA aneurysms following TAE even without the treatment for celiac artery stenosis [20]. However celiac artery stenting may be considered in some cases if collateral circulation around the celiac axis is inadequate and TAE poses a high risk of visceral ischemia.…”

Hemorrhagic complications of pancreatitis: Radiologic evaluation with emphasis on CT imaging

“…7-9). Furthermore, although the risk is small, aneurysm rupture secondary to transcatheter metallic coils embolization can occur [13]. Celiotomy with either arterial ligation or resection when feasible is reserved today for unstable patients, patients that failed angiographic embolizations and bleeding patients that cannot be embolized.…”

Successful embolization of a bleeding splenic artery pseudoaneurysm secondary to necrotizing pancreatitis

“…Actually, arteriography is the most useful tool in diagnosis and management of such difficult cases. Therapeutic transcatheter vascular occlusion has been chosen for the treatment of peripancreatic bleeding pseudoaneurysm [3] because of the high risk, ineffectiveness, and high mortality during surgery. Due to their thin and weak walls, these pseudoaneurysms easily rupture and bleed spontaneously [3].…”

“…Gastrointestinal bleeding due to rupture of pseudoaneurysm treated by surgery carries a mortality of 47% [6]. Transcatheter embolization [3] and electrocoagulation [7,8] have been sporadically used to control bleeding from arterial pseudoaneurysm caused by pancreatitis and in the treatment of visceral artery aneurysms [9,10]. The technique used for embolization may cause rupture of the aneurysm, complicating the evolution of the disease [3].…”