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British Journal of Radiology (2008) 81, e7-e10
© 2008 British Institute of Radiology
doi: 10.1259/bjr/33510361
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Acute parent artery dissection as a complication of mesenteric endovascular coil embolisation for pancreatic pseudoaneurysm

T Mammen, MD1, P Joseph, MS2, V Sitaram, MS2 and V Moses, MD1

Departments of 1 Radiology and 2 Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India


Figure 1
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  		Figure 1. Contrast-enhanced CT showing a gastroduodenal artery pseudoaneurysm with features of acute chronic pancreatitis.

 

Figure 2
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  		Figure 2. Selective common hepatic angiogram showing a pseudoaneurysm from the proximal gastroduodenal artery.

 

Figure 3
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  		Figure 3. Superior mesenteric angiogram showing opacification of the pseudoaneurysm through the inferior pancreaticoduodenal artery arcade.

 

Figure 4
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  		Figure 4. Post-coiling common hepatic angiogram showing contrast within the false and true lumen of the dissected common hepatic artery.

 

Figure 5
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  		Figure 5. Common hepatic artery angiogram showing significant luminal compromise owing to the progressing dissection.

 

Figure 6
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  		Figure 6. Antegrade balloon angioplasty of the coeliac artery and common hepatic artery.

 

Figure 7
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  		Figure 7. Post-angioplasty common hepatic artery angiogram showing near total restoration of the arterial lumen.

 

Figure 8
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  		Figure 8. Post-angioplasty superior mesenteric artery angiogram showing no opacification of the pseudoaneurysm.

 




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