MANAGEMENT OF INFERIOR PANCREATICODUODENAL ARTERY ANEURYSMS - A 4-YEAR, SINGLE-CENTER EXPERIENCE

Inferior pancreaticoduodenal artery aneurysms are uncommon visceral ar tery aneurysms usually difficult to resect, and, if untreated, have a propensity to rupture with catastrophic results. We reviewed the clini cal and treatment records of four patients encountered in our institut ion within the last 4 years. Three patients presented as bleeding emer gencies from single aneurysms and were successfully treated by transca theter embolization using coaxial technique and a variety of embolic a gents. One nonemergent, asymptomatic patient had surgical resection of two inferior pancreaticoduodenal artery aneurysms due to unfavorable anatomy for embolization. Embolization therapy appears to be the treat ment of choice in the emergency setting. Patients with unsuitable anat omy for embolization may still require surgical intervention.