Coil embolization of a gastroduodenal artery pseudoaneurysm secondary to cholangitis: technical aspects and review of the literature.
A 72-year-old woman with end-stage renal disease was admitted with right upper quadrant pain, hypotension, an elevated bilirubin, and leukocytosis. A computed tomography scan showed a dilated common bile duct and an associated 4.5 cm gastroduodenal artery pseudoaneurysm. The pseudoaneurysm was coil embolized successfully while maintaining dual access from the brachial and femoral arteries using the "body floss" technique. Subsequently, the patient underwent endoscopic treatment for her obstructive jaundice. We report on the technical aspects of this case and review the literature.
Division of Vascular and Endovascular Surgery, New York University School of Medicine, New York, NY, USA.
Mikel
M
Sadek
Caron B
CB
Rockman
Todd L
TL
Berland
Thomas S
TS
Maldonado
Glenn R
GR
Jacobowitz
Mark A
MA
Adelman
Firas F
FF
Mussa
D000368:Aged; D000369:Aged, 80 and over; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D001158:Arteries; D002761:Cholangitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D004386:Duodenum / Q000098:blood supply*; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D013270:Stomach / Q000098:blood supply*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome