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Successful endovascular treatment of hemosuccus pancreaticus due to splenic artery aneurysm associated with segmental arterial mediolysis  Hideaki Obara,

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Presentation on theme: "Successful endovascular treatment of hemosuccus pancreaticus due to splenic artery aneurysm associated with segmental arterial mediolysis  Hideaki Obara,"— Presentation transcript:

1 Successful endovascular treatment of hemosuccus pancreaticus due to splenic artery aneurysm associated with segmental arterial mediolysis  Hideaki Obara, MD, PhD, Kentaro Matsubara, MD, Masanori Inoue, MD, Seishi Nakatsuka, MD, PhD, Sachio Kuribayashi, MD, PhD, Yuko Kitagawa, MD, PhD  Journal of Vascular Surgery  Volume 54, Issue 5, Pages (November 2011) DOI: /j.jvs Copyright © 2011 Society for Vascular Surgery Terms and Conditions

2 Fig 1 A, 3D-computed tomography (CT) angiography shows aneurysms of the splenic artery (large arrow), celiac artery (small arrow), and superior mesenteric artery (arrowhead), respectively. B and C, CT scan shows dissection of the celiac artery, splenic artery, and common hepatic artery at each proximal portion (arrows). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, Axial computed tomography (CT) scan shows a large pseudoaneurysm of the splenic artery (small arrow) and a dilated main pancreatic duct (large arrow). Arrowhead shows the splenic artery. B, On T1-weighted fat-suppressed magnetic resonance image, a dilated main pancreatic duct was demonstrated as a hyperintense region, revealing a hemorrhage (arrow). Arrowhead shows the splenic artery. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

4 Fig 3 A, Arteriography after coil embolization shows complete occlusion of the splenic artery. Marked enhancement of the gastroduodenal and pancreaticoduodenal collateral network (arrows) supplying the hepatic artery. B, Lateral arteriography after aortic stent graft placement and superior mesenteric artery (SMA) stenting shows complete coverage of the celiac artery. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

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