Onishi Motofumi, Onishi Yasuyuki, Noda Toshiyuki, Yasuo Shunsuke, Kobiki Jumpei, Arai Yoshio, Taniguchi Takanori
Department of Radiology, Tenri Hospital, 200 Mishimacho, Tenri, Nara 632-8552, Japan.
Department of Cardiovascular Surgery, Tenri Hospital, Tenri, Nara, Japan.
Radiol Case Rep. 2023 Jun 9;18(8):2845-2849. doi: 10.1016/j.radcr.2023.05.047. eCollection 2023 Aug.
An 83-year-old woman with a history of hybrid repair of thoracoabdominal aortic aneurysm presented with enlargement of the aneurysm due to a type 2 endoleak from the celiac artery. The endoleak cavity was accessed via the dorsal pancreatic artery, and embolization using N-butyl cyanoacrylate and coils was successfully performed. When celiac artery branches are embolized during hybrid repair of a thoracoabdominal aortic aneurysm, attention should be paid to the dorsal pancreatic artery to appropriately determine which branches are to be embolized, because a nonembolized dorsal pancreatic artery may lead to type 2 endoleaks.
一名有胸腹主动脉瘤杂交修复病史的83岁女性,因腹腔干动脉2型内漏导致动脉瘤增大。通过背侧胰动脉进入内漏腔,并成功使用氰基丙烯酸正丁酯和弹簧圈进行栓塞。在胸腹主动脉瘤杂交修复过程中栓塞腹腔干动脉分支时,应注意背侧胰动脉,以适当确定哪些分支需要栓塞,因为未栓塞的背侧胰动脉可能导致2型内漏。