Endovascular treatment of isolated spontaneous celiac artery dissection

Abstract

This report presents the case of a patient with isolated spontaneous celiac artery dissection. The patient developed acute abdominal pain that was induced by eating. Computed tomography and selective angiography revealed an intimal flap that separated the true and false lumens located 3 cm from the origin of the celiac artery. We treated the patient with a stent that was deployed endovascularly into the celiac artery to seal the entry site. Postoperative angiography revealed that the graft was patent and the follow-up period was uneventful. The etiology, clinical features, diagnostic modalities and treatment options of isolated spontaneous celiac artery dissection are reported.

Hypertensive emergency presenting with an isolated celiac artery dissection: A rare case study

“…When surgical intervention is necessary, a vascular surgeon should be consulted emergently [4] . Operative treatment may entail resection and anastomosis, prosthetic bypass, or endovascular stenting [4] , [5] , [15] . Successful transcatheter embolization has also been reported in the literature [11] , [13] .…”

A major pain in the … Back and epigastrium: an unusual case of spontaneous celiac artery dissection

“…Use of anti-platelet agents such as clopidrogel and anticoagulation agents such as warfarin may prevent thromboembolic events secondary to possible exposure of the subendothelium. Patients benefit from anticoagulation for up to 6 months with INR goals between 2 and 3 (4, 5, 15, 16). If signs of organ ischemia are evident despite anti-platelet or anticoagulation therapy, surgical repair or endovascular stenting would be subsequently considered.…”

Three Overlapping Balloon-expandable Stents Applied in Coeliac Artery Dissection:Case Report and Literature Review

“…Five endovascular techniques were applied in coeliac artery dissection. Fenestration was used to recover blood flow in the coeliac artery in the early stage, but long-term complications were bound to occur because the false lumen existed (5); a single naked stent could be applied to repair smaller tears but not bigger tears because endoleak could not be eliminated (6); naked stents associated with spring coils applied in coeliac artery dissection had an immediate therapeutic effect and thorough elimination of endoleak, but the technique was complex in manipulation and had the risk of rupture of dissection. It was suitable for local dissection and not for dissection with a big false lumen (7); covered stents were the best option for patients with rupture of coeliac artery dissection because bleeding could be stopped promptly (8).…”