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Inferior Pancreaticoduodenal Artery Aneurysms Associated with Occlusive Lesions of the Celiac Axis: Diagnosis, Treatment Options, Outcomes, and Review of the Literature

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Abstract

Purpose

To describe the presentation, treatment, and outcomes for 14 patients with aneurysms of the inferior pancreaticoduodenal arteries associated with occlusive lesions of the celiac axis, and to review the literature for similar cases.

Methods

Over a period of 12 years, 14 patients (10 women and 4 men) ranging in age from 26 to 50 (mean 46) years were demonstrated to have aneurysms of the inferior pancreaticoduodenal artery origin associated with stenosis or occlusion of the celiac axis. All patients were treated by a combination of surgery and interventional radiology.

Results

Outcome data collected between 3 months and 4 years (mean 2 years) demonstrated that all aneurysms remained excluded, and all 14 patients were well. The 49 case reports in the literature confirm the findings of this cohort.

Conclusion

In inferior pancreaticoduodenal artery aneurysm resulting from celiac occlusive disease, endovascular treatment is best achieved by stenting the celiac axis and/or embolizing the aneurysm when necessary.

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The authors declare that they have no conflict of interest.

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  1. Department of Radiology, Leeds Teaching Hospitals, 1 Great George Street, Leeds, LS1 3EX, United Kingdom

    Karen Flood & Anthony A. Nicholson

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  1. Karen Flood
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  2. Anthony A. Nicholson
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Correspondence to Karen Flood.

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Flood, K., Nicholson, A.A. Inferior Pancreaticoduodenal Artery Aneurysms Associated with Occlusive Lesions of the Celiac Axis: Diagnosis, Treatment Options, Outcomes, and Review of the Literature. Cardiovasc Intervent Radiol 36, 578–587 (2013). https://doi.org/10.1007/s00270-012-0473-2

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