Spontaneous Dissection of the Celiac and Hepatic Arteries Treated with Endovascular Treatment Modalities, Including Stent Placement and Transcatheter Arterial Embolization

Abstract

Symptomatic spontaneous celiac and hepatic artery dissection is a rare condition. It is not known which treatment modalities are the most appropriate. Here, the case of a 64-year-old man who presented to us with a several-month history of epigastralgia is reported. Computed tomography (CT) revealed a fusiform dilated dissection of the celiac and hepatic arteries with a flap. Because of the size of the dissection and the refractory symptoms, an endovascular stent implantation was performed. Eight months after the procedure, CT scans showed a new aneurysmal formation at the proper hepatic artery near the distal edge of the stent. The dissection was isolated by coil packing. This case suggests that endovascular treatment can be feasible in symptomatic patients with isolated spontaneous celiac and hepatic artery dissection.

Conservative Treatment in Two Patients With Spontaneous Hepatic Artery Dissection

“…Hospital stays are short and collateral circulation is easily known during arteriography. Koki et al 13 treated a male patient with spontaneous celiac and hepatic artery dissection with endovascular stent and transcatheter arterial embolization.…”