Transcatheter arterial embolization of a type 2 endoleak through the dorsal pancreatic artery after the hybrid repair of a thoracoabdominal aortic aneurysm: A case report

• Published in: Radiology case reports Vol. 18; no. 8; pp. 2845 - 2849
• Main Authors: Onishi, Motofumi, Onishi, Yasuyuki, Noda, Toshiyuki, Yasuo, Shunsuke, Kobiki, Jumpei, Arai, Yoshio, Taniguchi, Takanori
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 01.08.2023; Elsevier
• Subjects: Aortic aneurysm; Case Report; Dorsal pancreatic artery; Embolization; Type 2 endoleak; Embolization; Type 2 endoleak; Dorsal pancreatic artery; Aortic aneurysm
• ISSN: 1930-0433; 1930-0433
• DOI: 10.1016/j.radcr.2023.05.047

An 83-year-old woman with a history of hybrid repair of thoracoabdominal aortic aneurysm presented with enlargement of the aneurysm due to a type 2 endoleak from the celiac artery. The endoleak cavity was accessed via the dorsal pancreatic artery, and embolization using N-butyl cyanoacrylate and coils was successfully performed. When celiac artery branches are embolized during hybrid repair of a thoracoabdominal aortic aneurysm, attention should be paid to the dorsal pancreatic artery to appropriately determine which branches are to be embolized, because a nonembolized dorsal pancreatic artery may lead to type 2 endoleaks.