Volumetric computed tomography analysis for gastroduodenal and pancreaticoduodenal artery aneurysm formation A retrospective single-center study
Abstract Gastroduodenal artery aneurysms (GDAA) and pancreaticoduodenal artery aneurysms (PDAA) are rare, have high rupture risks, and are located in the arcade between the celiac artery and the superior mesenteric artery. Pancreaticoduodenal artery aneurysms are associated with celiac artery stenos...
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Published in | Medicine (Baltimore) Vol. 101; no. 24; p. e29539 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
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Hagerstown, MD
Lippincott Williams & Wilkins
17.06.2022
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Abstract | Abstract Gastroduodenal artery aneurysms (GDAA) and pancreaticoduodenal artery aneurysms (PDAA) are rare, have high rupture risks, and are located in the arcade between the celiac artery and the superior mesenteric artery. Pancreaticoduodenal artery aneurysms are associated with celiac artery stenosis, and it is hypothesized that these celiac lesions might contribute to the formation of aneurysms. In contrast, a few studies have reported an association between a gastroduodenal artery aneurysm and celiac lesions. This study aimed to investigate the potential differences between patients with gastroduodenal and pancreaticoduodenal artery aneurysms and better understand their pathogenesis. We selected patients with GDAA and PDAA who were admitted to our department between January 2010 and December 2020. Aortic wall volume, aortic wall calcification, and pancreaticoduodenal arcade volume of computed tomography images were calculated semi-manually using Horos 3.3.5. Eight GDAAs and 11 PDAAs were analyzed. Celiac lesions were found in all PDAA patients, with none in GDAA cases. Volumetry demonstrated that aortic wall volume and calcification were more prominent in the GDAA group than in the PDAA group ( P = .026 and P = .049, respectively). The pancreaticoduodenal arcade volume was larger in the PDAA group ( P = .002). In our study, celiac artery lesions were strongly correlated with PDAA. The volume of the pancreaticoduodenal arcade was larger in the PDAA group, and aortic wall volume and calcification were larger in the GDAA group. |
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AbstractList | ABSTRACTGastroduodenal artery aneurysms (GDAA) and pancreaticoduodenal artery aneurysms (PDAA) are rare, have high rupture risks, and are located in the arcade between the celiac artery and the superior mesenteric artery. Pancreaticoduodenal artery aneurysms are associated with celiac artery stenosis, and it is hypothesized that these celiac lesions might contribute to the formation of aneurysms. In contrast, a few studies have reported an association between a gastroduodenal artery aneurysm and celiac lesions. This study aimed to investigate the potential differences between patients with gastroduodenal and pancreaticoduodenal artery aneurysms and better understand their pathogenesis.We selected patients with GDAA and PDAA who were admitted to our department between January 2010 and December 2020. Aortic wall volume, aortic wall calcification, and pancreaticoduodenal arcade volume of computed tomography images were calculated semi-manually using Horos 3.3.5.Eight GDAAs and 11 PDAAs were analyzed. Celiac lesions were found in all PDAA patients, with none in GDAA cases. Volumetry demonstrated that aortic wall volume and calcification were more prominent in the GDAA group than in the PDAA group (P = .026 and P = .049, respectively). The pancreaticoduodenal arcade volume was larger in the PDAA group (P = .002).In our study, celiac artery lesions were strongly correlated with PDAA. The volume of the pancreaticoduodenal arcade was larger in the PDAA group, and aortic wall volume and calcification were larger in the GDAA group. Abstract Gastroduodenal artery aneurysms (GDAA) and pancreaticoduodenal artery aneurysms (PDAA) are rare, have high rupture risks, and are located in the arcade between the celiac artery and the superior mesenteric artery. Pancreaticoduodenal artery aneurysms are associated with celiac artery stenosis, and it is hypothesized that these celiac lesions might contribute to the formation of aneurysms. In contrast, a few studies have reported an association between a gastroduodenal artery aneurysm and celiac lesions. This study aimed to investigate the potential differences between patients with gastroduodenal and pancreaticoduodenal artery aneurysms and better understand their pathogenesis. We selected patients with GDAA and PDAA who were admitted to our department between January 2010 and December 2020. Aortic wall volume, aortic wall calcification, and pancreaticoduodenal arcade volume of computed tomography images were calculated semi-manually using Horos 3.3.5. Eight GDAAs and 11 PDAAs were analyzed. Celiac lesions were found in all PDAA patients, with none in GDAA cases. Volumetry demonstrated that aortic wall volume and calcification were more prominent in the GDAA group than in the PDAA group ( P = .026 and P = .049, respectively). The pancreaticoduodenal arcade volume was larger in the PDAA group ( P = .002). In our study, celiac artery lesions were strongly correlated with PDAA. The volume of the pancreaticoduodenal arcade was larger in the PDAA group, and aortic wall volume and calcification were larger in the GDAA group. Gastroduodenal artery aneurysms (GDAA) and pancreaticoduodenal artery aneurysms (PDAA) are rare, have high rupture risks, and are located in the arcade between the celiac artery and the superior mesenteric artery. Pancreaticoduodenal artery aneurysms are associated with celiac artery stenosis, and it is hypothesized that these celiac lesions might contribute to the formation of aneurysms. In contrast, a few studies have reported an association between a gastroduodenal artery aneurysm and celiac lesions. This study aimed to investigate the potential differences between patients with gastroduodenal and pancreaticoduodenal artery aneurysms and better understand their pathogenesis. We selected patients with GDAA and PDAA who were admitted to our department between January 2010 and December 2020. Aortic wall volume, aortic wall calcification, and pancreaticoduodenal arcade volume of computed tomography images were calculated semi-manually using Horos 3.3.5. Eight GDAAs and 11 PDAAs were analyzed. Celiac lesions were found in all PDAA patients, with none in GDAA cases. Volumetry demonstrated that aortic wall volume and calcification were more prominent in the GDAA group than in the PDAA group ( P = .026 and P = .049, respectively). The pancreaticoduodenal arcade volume was larger in the PDAA group ( P = .002). In our study, celiac artery lesions were strongly correlated with PDAA. The volume of the pancreaticoduodenal arcade was larger in the PDAA group, and aortic wall volume and calcification were larger in the GDAA group. |
Author | Suhara, Masamitsu Isaji, Toshihiko Takayama, Toshio Hoshina, Katsuyuki Miyahara, Kazuhiro Maeno, Ryohei Matsukura, Mitsuru |
AuthorAffiliation | Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan |
AuthorAffiliation_xml | – name: Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan |
Author_xml | – sequence: 1 givenname: Ryohei orcidid: 0000-0002-8215-2037 surname: Maeno fullname: Maeno, Ryohei – sequence: 2 givenname: Katsuyuki surname: Hoshina fullname: Hoshina, Katsuyuki – sequence: 3 givenname: Kazuhiro surname: Miyahara fullname: Miyahara, Kazuhiro – sequence: 4 givenname: Masamitsu surname: Suhara fullname: Suhara, Masamitsu – sequence: 5 givenname: Mitsuru surname: Matsukura fullname: Matsukura, Mitsuru – sequence: 6 givenname: Toshihiko surname: Isaji fullname: Isaji, Toshihiko – sequence: 7 givenname: Toshio surname: Takayama fullname: Takayama, Toshio |
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Cites_doi | 10.1016/S0890-5096(06)60835-2 10.1016/S0009-9260(73)80114-X 10.1007/s00595-019-01898-3 10.1016/j.jbiomech.2019.05.043 10.1016/j.jvs.2020.01.039 10.1016/0741-5214(86)90059-5 10.1016/j.avsg.2016.09.018 10.3400/avd.oa.19-00005 10.1007/BF02018176 10.1007/s005340050084 |
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References | Murakami (R8-20240803) 1999; 6 Vandy (R4-20240803) 2017; 41 Gouny (R9-20240803) 1994; 8 Yuhn (R6-20240803) 2019; 92 Miyahara (R5-20240803) 2019; 12 Quandalle (R10-20240803) 1990; 4 Chaer (R3-20240803) 2020; 72 Stanley (R1-20240803) 1986; 3 Obara (R2-20240803) 2020; 50 Sutton (R7-20240803) 1973; 24 |
References_xml | – volume: 4 start-page: 540 year: 1990 ident: R10-20240803 article-title: Pancreaticoduodenal artery aneurysms associated with celiac axis stenosis: report of two cases and review of the literature publication-title: Ann Vasc Surg doi: 10.1016/S0890-5096(06)60835-2 contributor: fullname: Quandalle – volume: 24 start-page: 49 year: 1973 ident: R7-20240803 article-title: Coeliac stenosis or occlusion with aneurysm of the collateral supply publication-title: Clin Radiol doi: 10.1016/S0009-9260(73)80114-X contributor: fullname: Sutton – volume: 50 start-page: 38 year: 2020 ident: R2-20240803 article-title: Current management strategies for visceral artery aneurysms: an overview publication-title: Surg Today doi: 10.1007/s00595-019-01898-3 contributor: fullname: Obara – volume: 92 start-page: 146 year: 2019 ident: R6-20240803 article-title: Computational simulation of flow-induced arterial remodeling of the pancreaticoduodenal arcade associated with celiac artery stenosis publication-title: J Biomech doi: 10.1016/j.jbiomech.2019.05.043 contributor: fullname: Yuhn – volume: 72 start-page: 3S–39S year: 2020 ident: R3-20240803 article-title: The Society for Vascular Surgery clinical practice guidelines on the management of visceral aneurysms publication-title: J Vasc Surg doi: 10.1016/j.jvs.2020.01.039 contributor: fullname: Chaer – volume: 3 start-page: 836 year: 1986 ident: R1-20240803 article-title: Clinical importance and management of splanchnic artery aneurysms publication-title: J Vasc Surg doi: 10.1016/0741-5214(86)90059-5 contributor: fullname: Stanley – volume: 41 start-page: 32 year: 2017 ident: R4-20240803 article-title: Pancreaticoduodenal and gastroduodenal artery aneurysms associated with celiac artery occlusive disease publication-title: Ann Vasc Surg doi: 10.1016/j.avsg.2016.09.018 contributor: fullname: Vandy – volume: 12 start-page: 176 year: 2019 ident: R5-20240803 article-title: Hemodynamic simulation of pancreaticoduodenal artery aneurysm formation using an electronic circuit model and a case series analysis publication-title: Ann Vasc Dis doi: 10.3400/avd.oa.19-00005 contributor: fullname: Miyahara – volume: 8 start-page: 281 year: 1994 ident: R9-20240803 article-title: Aneurysm of the gastroduodenal artery associated with stenosis of the superior mesenteric artery publication-title: Ann Vasc Surg doi: 10.1007/BF02018176 contributor: fullname: Gouny – volume: 6 start-page: 55 year: 1999 ident: R8-20240803 article-title: Vascular anatomy of the pancreaticoduodenal region: a review publication-title: J Hepato-Bil Pancreat Surg doi: 10.1007/s005340050084 contributor: fullname: Murakami |
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Snippet | Abstract Gastroduodenal artery aneurysms (GDAA) and pancreaticoduodenal artery aneurysms (PDAA) are rare, have high rupture risks, and are located in the... ABSTRACTGastroduodenal artery aneurysms (GDAA) and pancreaticoduodenal artery aneurysms (PDAA) are rare, have high rupture risks, and are located in the arcade... Gastroduodenal artery aneurysms (GDAA) and pancreaticoduodenal artery aneurysms (PDAA) are rare, have high rupture risks, and are located in the arcade between... |
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Subtitle | A retrospective single-center study |
Title | Volumetric computed tomography analysis for gastroduodenal and pancreaticoduodenal artery aneurysm formation |
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