Sasaki Koji, Yamaguchi Masato, Umeno Akihiro, Yamanaka Tomoharu, Matsushiro Keigo, Gentsu Tomoyuki, Ueshima Eisuke, Murakami Takamichi
Department of Diagnostic and Interventional Radiology, Kobe University Hospital, Japan.
Interv Radiol (Higashimatsuyama). 2025 Sep 3;10:e20240061. doi: 10.22575/interventionalradiology.2024-0061. eCollection 2025.
This case report presents a unique endovascular technique using an electrically detachable coil as a temporary anchor for the treatment of a saccular celiac artery aneurysm. A man in his 60s with a 28-mm saccular aneurysm in the main trunk of the celiac artery underwent coil embolization. The short distance between the aneurysm and the bifurcation of the common hepatic and splenic arteries posed a significant challenge in preserving the bifurcation. By employing a detachable coil as a temporary anchor, the procedure enabled precise coil placement and eliminated the need for stents or balloons. Five-year outpatient follow-up imaging confirmed bifurcation patency and no aneurysm recurrence. This temporary anchoring technique can provide a practical alternative for embolization without the need for additional stents or balloons.