Embolization using both n-butyl cyanoacrylate and gelatin sponges in a patient with a posterior superior pancreaticoduodenal artery pseudoaneurysm that ruptured and bled into the drain tube

Transcatheter arterial embolization is a useful treatment for postpancreatectomy hemorrhage, a severe complication of pancreatic surgery. N-butyl cyanoacrylate is a liquid and permanent embolic material that is widely used in transcatheter arterial embolization. However, its use can lead to the adhe...

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Main Authors: Fumiaki Fukamatsu, MD, Keiichi Yamada, MD, Daiya Takekoshi, MD, Takanori Aonuma, MD, Kazuki Oyama, MD, Shin Yanagisawa, MD, PhD, Akira Yamada, MD, PhD, Akira Shimizu, MD, PhD, Yasunari Fujinaga, MD, PhD
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043323008841
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author Fumiaki Fukamatsu, MD
Keiichi Yamada, MD
Daiya Takekoshi, MD
Takanori Aonuma, MD
Kazuki Oyama, MD
Shin Yanagisawa, MD, PhD
Akira Yamada, MD, PhD
Akira Shimizu, MD, PhD
Yasunari Fujinaga, MD, PhD
author_facet Fumiaki Fukamatsu, MD
Keiichi Yamada, MD
Daiya Takekoshi, MD
Takanori Aonuma, MD
Kazuki Oyama, MD
Shin Yanagisawa, MD, PhD
Akira Yamada, MD, PhD
Akira Shimizu, MD, PhD
Yasunari Fujinaga, MD, PhD
author_sort Fumiaki Fukamatsu, MD
collection DOAJ
description Transcatheter arterial embolization is a useful treatment for postpancreatectomy hemorrhage, a severe complication of pancreatic surgery. N-butyl cyanoacrylate is a liquid and permanent embolic material that is widely used in transcatheter arterial embolization. However, its use can lead to the adherence of the catheter to the vessel wall and occlusion of the catheter lumen. This case report presents the case of a 63-year-old man with a postpancreatectomy posterior superior pancreaticoduodenal artery pseudoaneurysm, which ruptured and bled into a drain tube. The patient underwent transcatheter arterial embolization using N-butyl cyanoacrylate and a gelatin sponge without the incidence of adherence or occlusion of the drain tube. Gelatin sponge, which was used as a temporary embolic material, was effective in preventing the drain tube from adhering and occluding.
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spelling doaj.art-fd43e337a7af462c887ba4eb0e5c8a9c2024-01-11T04:30:57ZengElsevierRadiology Case Reports1930-04332024-03-01193876880Embolization using both n-butyl cyanoacrylate and gelatin sponges in a patient with a posterior superior pancreaticoduodenal artery pseudoaneurysm that ruptured and bled into the drain tubeFumiaki Fukamatsu, MD0Keiichi Yamada, MD1Daiya Takekoshi, MD2Takanori Aonuma, MD3Kazuki Oyama, MD4Shin Yanagisawa, MD, PhD5Akira Yamada, MD, PhD6Akira Shimizu, MD, PhD7Yasunari Fujinaga, MD, PhD8Department of Radiology, Shinshu University School of Medicine,3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan; Corresponding author.Department of Radiology, Shinshu University School of Medicine,3-1-1 Asahi, Matsumoto, Nagano 390-8621, JapanDepartment of Radiology, Shinshu University School of Medicine,3-1-1 Asahi, Matsumoto, Nagano 390-8621, JapanDepartment of Radiology, Shinshu University School of Medicine,3-1-1 Asahi, Matsumoto, Nagano 390-8621, JapanDepartment of Radiology, Shinshu University School of Medicine,3-1-1 Asahi, Matsumoto, Nagano 390-8621, JapanDepartment of Radiology, Shinshu University School of Medicine,3-1-1 Asahi, Matsumoto, Nagano 390-8621, JapanDepartment of Radiology, Shinshu University School of Medicine,3-1-1 Asahi, Matsumoto, Nagano 390-8621, JapanDivision of Gastroenterological, Hepato-Biliary-Pancreatic, Transplantation, and Pediatric Surgery, Department of Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, JapanDepartment of Radiology, Shinshu University School of Medicine,3-1-1 Asahi, Matsumoto, Nagano 390-8621, JapanTranscatheter arterial embolization is a useful treatment for postpancreatectomy hemorrhage, a severe complication of pancreatic surgery. N-butyl cyanoacrylate is a liquid and permanent embolic material that is widely used in transcatheter arterial embolization. However, its use can lead to the adherence of the catheter to the vessel wall and occlusion of the catheter lumen. This case report presents the case of a 63-year-old man with a postpancreatectomy posterior superior pancreaticoduodenal artery pseudoaneurysm, which ruptured and bled into a drain tube. The patient underwent transcatheter arterial embolization using N-butyl cyanoacrylate and a gelatin sponge without the incidence of adherence or occlusion of the drain tube. Gelatin sponge, which was used as a temporary embolic material, was effective in preventing the drain tube from adhering and occluding.http://www.sciencedirect.com/science/article/pii/S1930043323008841PostpancreatectomyPosterior superior pancreaticoduodenal artery pseudoaneurysmN-butyl cyanoacrylateGelatin spongeTranscatheter arterial embolization
spellingShingle Fumiaki Fukamatsu, MD
Keiichi Yamada, MD
Daiya Takekoshi, MD
Takanori Aonuma, MD
Kazuki Oyama, MD
Shin Yanagisawa, MD, PhD
Akira Yamada, MD, PhD
Akira Shimizu, MD, PhD
Yasunari Fujinaga, MD, PhD
Embolization using both n-butyl cyanoacrylate and gelatin sponges in a patient with a posterior superior pancreaticoduodenal artery pseudoaneurysm that ruptured and bled into the drain tube
Radiology Case Reports
Postpancreatectomy
Posterior superior pancreaticoduodenal artery pseudoaneurysm
N-butyl cyanoacrylate
Gelatin sponge
Transcatheter arterial embolization
title Embolization using both n-butyl cyanoacrylate and gelatin sponges in a patient with a posterior superior pancreaticoduodenal artery pseudoaneurysm that ruptured and bled into the drain tube
title_full Embolization using both n-butyl cyanoacrylate and gelatin sponges in a patient with a posterior superior pancreaticoduodenal artery pseudoaneurysm that ruptured and bled into the drain tube
title_fullStr Embolization using both n-butyl cyanoacrylate and gelatin sponges in a patient with a posterior superior pancreaticoduodenal artery pseudoaneurysm that ruptured and bled into the drain tube
title_full_unstemmed Embolization using both n-butyl cyanoacrylate and gelatin sponges in a patient with a posterior superior pancreaticoduodenal artery pseudoaneurysm that ruptured and bled into the drain tube
title_short Embolization using both n-butyl cyanoacrylate and gelatin sponges in a patient with a posterior superior pancreaticoduodenal artery pseudoaneurysm that ruptured and bled into the drain tube
title_sort embolization using both n butyl cyanoacrylate and gelatin sponges in a patient with a posterior superior pancreaticoduodenal artery pseudoaneurysm that ruptured and bled into the drain tube
topic Postpancreatectomy
Posterior superior pancreaticoduodenal artery pseudoaneurysm
N-butyl cyanoacrylate
Gelatin sponge
Transcatheter arterial embolization
url http://www.sciencedirect.com/science/article/pii/S1930043323008841
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