Successful endovascular treatment for gastroduodenal artery pseudoaneurysm with an arteriovenous fistula after pancreas transplantation

被引：22
|
作者：
Orsenigo, E
De Cobelli, F
Salvioni, M
Cristallo, M
Fiorina, P
Del Maschio, A
Di Carlo, V
Secchi, A
机构：
[1] Univ Vita Salute San Raffaele, Dept Med, I-20132 Milan, Italy
[2] Univ Vita Salute San Raffaele, Dept Surg, Milan, Italy
[3] Univ Vita Salute San Raffaele, Dept Radiol, Milan, Italy
来源：
TRANSPLANT INTERNATIONAL | 2003年 / 16卷 / 09期
关键词：
angiography; vascular complications; stent grafts; pancreas transplantation; pseudoaneurysm; arteriovenous fistula;
D O I：
10.1007/s00147-003-0611-5
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
The aim of this study was to demonstrate the usefulness of endovascular treatment for gastroduodenal artery pseudoaneurysm with an arteriovenous fistula after simultaneous pancreas-kidney transplantation. We describe the case of a 38-year-old man who underwent successful simultaneous pancreas-kidney transplantation. An asymptomatic pseudoaneurysm of the donor gastroduodenal artery with an arteriovenous fistula was incidentally diagnosed by routine color flow Doppler ultrasound (CDU) examination and confirmed by 3-D gadolinium-enhanced magnetic resonance angiography (MRA) 15 days after transplantation. Selective arteriography (via the right femoral artery) confirmed an arteriovenous fistula and a pseudoaneurysm of the donor gastroduodenal artery. The patient underwent successful endovascular embolization. At 11 months of follow-up, normal pancreatic function was reported. Endovascular treatment for gastroduodenal artery pseudoaneurysm with an arteriovenous fistula after pancreas transplantation obviates the need for surgical intervention.
引用
收藏
页码：694 / 696
页数：3
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