Journal: Cureus

Article Title: Endovascular Treatment of a Pancreaticoduodenal Artery Aneurysm in the Context of Celiac Trunk Occlusion

doi: 10.7759/cureus.99424

Figure Lengend Snippet: Digital subtraction angiography via a steerable sheath in the proximal superior mesenteric artery. A first microcatheter is advanced distal to the pancreaticoduodenal artery aneurysm into the gastroduodenal artery (white arrow), while a second microcatheter (green arrow) with a 0.014-inch microwire is positioned within the aneurysmal sac (red arrow) of the pancreaticoduodenal artery .

Article Snippet: First a microcatheter (Phenom 27, 150 cm, Medtronic, Minneapolis, MN, USA) was navigated over a 0.014” microwire (Transend 205 cm, Boston Scientific, Marlborough, MA, USA) distally to the aneurysm in the pancreaticoduodenal artery (Figure ).

Techniques:

Journal: Cureus

Article Title: Endovascular Treatment of a Pancreaticoduodenal Artery Aneurysm in the Context of Celiac Trunk Occlusion

doi: 10.7759/cureus.99424

Figure Lengend Snippet: Digital subtraction angiography after deployment of a flow diverter (white arrow) across the pancreaticoduodenal artery aneurysm demonstrates markedly reduced aneurysmal filling, with preserved patency of both the gastroduodenal artery and pancreaticoduodenal artery. A second microcatheter (green arrow) and 0.014″ microwire are jailed behind the flow diverter mesh within the aneurysm sac, in position for coil embolization using the jailing technique.

Article Snippet: First a microcatheter (Phenom 27, 150 cm, Medtronic, Minneapolis, MN, USA) was navigated over a 0.014” microwire (Transend 205 cm, Boston Scientific, Marlborough, MA, USA) distally to the aneurysm in the pancreaticoduodenal artery (Figure ).

Techniques:

Journal: Cureus

Article Title: Endovascular Treatment of a Pancreaticoduodenal Artery Aneurysm in the Context of Celiac Trunk Occlusion

doi: 10.7759/cureus.99424

Figure Lengend Snippet: Digital subtraction angiography after flow‑diverter placement demonstrating marked contrast stagnation within the aneurysm sac (red circle), indicative of reduced intra‑aneurysmal flow and pressure. The second, proximally positioned microcatheter and microwire are also visible; they lie outside the lumen of the flow diverter with the microcatheter tip remaining inside the aneurysm, prepared for subsequent coil embolization using the jailing technique.

Article Snippet: First a microcatheter (Phenom 27, 150 cm, Medtronic, Minneapolis, MN, USA) was navigated over a 0.014” microwire (Transend 205 cm, Boston Scientific, Marlborough, MA, USA) distally to the aneurysm in the pancreaticoduodenal artery (Figure ).

Techniques:

Journal: Cureus

Article Title: Endovascular Treatment of a Pancreaticoduodenal Artery Aneurysm in the Context of Celiac Trunk Occlusion

doi: 10.7759/cureus.99424

Figure Lengend Snippet: Magnified digital subtraction angiography image showing complete aneurysm occlusion, preserved flow‑diverter configuration, and maintained patency of the pancreaticoduodenal arcade. A microwire remains positioned through the lumen of the flow diverter, while the microcatheter is kept proximal to the device as a precaution before final removal.

Article Snippet: First a microcatheter (Phenom 27, 150 cm, Medtronic, Minneapolis, MN, USA) was navigated over a 0.014” microwire (Transend 205 cm, Boston Scientific, Marlborough, MA, USA) distally to the aneurysm in the pancreaticoduodenal artery (Figure ).

Techniques: