Endovascular Treatment of a Dissected Celiac Trunk Aneurysm Complicated with Consequent Pseudoaneurysm: Primary Treatment and Treatment Relapse after 5 Years

Figure 2

Diagnostic and procedural angiography. (a) Contrast injection from the celiac trunk confirming CT scan report: aneurysm of the celiac trunk (black arrow), cranial dissection, and consequent pseudoaneurysm (asterix) presenting with delayed enhancement and ectatic pancreaticoduodenal arcade (dashed black arrow); (b) release of a 12 mm vascular plug in the proximal third of the common hepatic artery; ((c)-(d)) positioning of a microcatheter (asterix) inside the aneurysm sac and of a guidewire in the splenic artery for the following release of a 12 × 80 mm covered stentgraft (black arrow); (e) contrast injection from the superior mesenteric artery showing the pancreaticoduodenal arcade (solid black arrow) supporting liver vascularization after occlusion of the hepatic artery with a vascular plug (white asterix), stent in the splenic artery (black asterix), and microcatheter inside the aneurysm sac (dashed black arrow); (f) aortography showing the complete exclusion of the aneurysm sac fulfilled with Onyx (dashed black arrow), patency of the covered stent positioned in the splenic artery (black asterix), and occlusion of the hepatic artery with a vascular plug (white asterix).

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