Successful endovascular treatment for gastroduodenal artery pseudoaneurysm with an arteriovenous fistula after pancreas transplantation

Elena Orsenigo, Francesco De Cobelli, Marco Salvioni, Marco Cristallo, Paolo Fiorina, Alessandro Del Maschio, Valerio Di Carlo, Antonio Secchi

Research output: Contribution to journalArticle

Abstract

The aim of this study was to demonstrate the usefulness of endovascular treatment for gastroduodenal artery pseudoaneurysm with an arteriovenous fistula after simultaneous pancreas-kidney transplantation. We describe the case of a 38-year-old man who underwent successful simultaneous pancreas-kidney transplantation. An asymptomatic pseudoaneurysm of the donor gastroduodenal artery with an arteriovenous fistula was incidentally diagnosed by routine color flow Doppler ultrasound (CDU) examination and confirmed by 3-D gadolinium-enhanced magnetic resonance angiography (MRA) 15 days after transplantation. Selective arteriography (via the right femoral artery) confirmed an arteriovenous fistula and a pseudoaneurysm of the donor gastroduodenal artery. The patient underwent successful endovascular embolization. At 11 months of follow-up, normal pancreatic function was reported. Endovascular treatment for gastroduodenal artery pseudoaneurysm with an arteriovenous fistula after pancreas transplantation obviates the need for surgical intervention.

Original languageEnglish
Pages (from-to)694-696
Number of pages3
JournalTransplant International
Volume16
Issue number9
DOIs
Publication statusPublished - Sep 1 2003

Keywords

  • Angiography
  • Arteriovenous fistula
  • Pancreas transplantation
  • Pseudoaneurysm
  • Stent grafts
  • Vascular complications

ASJC Scopus subject areas

  • Transplantation

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