Celiac injury due to arcuate ligament: an endovascular approach.
Celiac trunk injures are rare events, with high mortality rates and difficult management. Endovascular treatment may be considered to avoid bleeding. We report a case of severe bleeding in a 37-year-old man resulting from celiac trunk stretching after a motorcycle crash. Because direct celiac trunk catheterization was not possible, a retrograde catheterization of the common hepatic artery was performed via the superior mesenteric artery. Two vascular plugs (type IV) were released, and the exclusion of the celiac trunk origin was completed with the deployment of an aortic cuff. The patient's clinical condition immediately improved, and after 6 months' follow-up, imaging confirmed the complete exclusion of the celiac trunk.
Vascular and Interventional Radiology Unit, Radiology, Oncology and Pathology Department, "Sapienza,"-University of Rome, Viale Regina Elena 324, 00161 Rome, Italy. zini.chiara@gmail.com
Chiara
C
Zini
Mario
M
Corona
Emanuele
E
Boatta
Andrea
A
Wlderk
Filippo Maria
FM
Salvatori
Fabrizio
F
Fanelli
D000063:Accidents, Traffic; D000328:Adult; D015901:Angiography, Digital Subtraction; D001807:Blood Vessel Prosthesis; D002404:Catheterization / Q000379:methods; D002445:Celiac Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D003287:Contrast Media; D057510:Endovascular Procedures; D005119:Extravasation of Diagnostic and Therapeutic Materials; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D006499:Hepatic Artery; D006801:Humans; D008022:Ligaments / Q000000981:diagnostic imaging / Q000293:injuries*; D008297:Male; D015607:Stents; D014057:Tomography, X-Ray Computed; D051598:Whole Body Imaging
D003287:Contrast Media