Document Detail

Celiac artery stenosis/occlusion treated by interventional radiology.
MedLine Citation:
PMID:  18562143     Owner:  NLM     Status:  MEDLINE    
Severe stenosis/occlusion of the proximal celiac trunk due to median arcuate ligament compression (MALC), arteriosclerosis, pancreatitis, tumor invasion, and celiac axis agenesis has been reported. However, clinically significant ischemic bowel disease attributable to celiac axis stenosis/occlusion appears to be rare because the superior mesenteric artery (SMA) provides for rich collateral circulation. In patients with celiac axis stenosis/occlusion, the most important and frequently encountered collateral vessels from the SMA are the pancreaticoduodenal arcades. Patients with celiac artery stenosis/occlusion are treated by interventional radiology (IR) via dilation of the pancreaticoduodenal arcade. In patients with dilation of the pancreaticoduodenal arcade on SMA angiograms, IR through this artery may be successful. Here we provide several tips on surmounting these difficulties in IR including transcatheter arterial chemoembolization for hepatocellular carcinoma, an implantable port system for hepatic arterial infusion chemotherapy to treat metastatic liver tumors, coil embolization of pancreaticoduodenal artery aneurysms, and arterial stimulation test with venous sampling for insulinomas.
Osamu Ikeda; Yoshitaka Tamura; Yutaka Nakasone; Yasuyuki Yamashita
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Publication Detail:
Type:  Journal Article; Review     Date:  2008-06-17
Journal Detail:
Title:  European journal of radiology     Volume:  71     ISSN:  1872-7727     ISO Abbreviation:  Eur J Radiol     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-08-03     Completed Date:  2009-10-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8106411     Medline TA:  Eur J Radiol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  369-77     Citation Subset:  IM    
Department of Diagnostic Radiology, Kumamoto University Graduate School of Medical and Pharmaceutical Sciences, 1-1-1, Honjo Kumamoto 860-8505, Japan.
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MeSH Terms
Arterial Occlusive Diseases / therapy*
Celiac Artery
Embolization, Therapeutic / methods*
Peripheral Vascular Diseases / therapy*
Radiography, Interventional / methods*
Vascular Surgical Procedures / methods*

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