{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T18:46:46Z","timestamp":1777056406316,"version":"3.51.4"},"reference-count":26,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T00:00:00Z","timestamp":1732233600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background and Objective: High-flow pancreaticoduodenal artery (PDA) aneurysms secondary to celiac trunk occlusion or stenosis have a high risk of rupture. Embolization offers a less invasive alternative to surgery. We evaluated the effectiveness and safety of retrograde embolization via the superior mesenteric artery of high-flow PDA aneurysms without celiac trunk revascularization. Methods: This retrospective bicentric study included patients who underwent embolization of high-flow PDA aneurysms due to significant celiac trunk stenosis or occlusion. All patients underwent pre-interventional dynamic contrast-enhanced computed tomography. Retrograde embolization was performed using microcoils and\/or liquid agents without celiac trunk revascularization. Follow up involved clinical and radiological assessment at one month. Technical and clinical success were evaluated, and complications were categorized as minor or major. Results: Twenty-three patients (mean age 65 \u00b1 14 years; 52% male) were included. Emergency embolization was required in 12 patients (52%). The technical success rate was 100%. Patients were monitored for a median of 16 months. Clinical success was 87%. No hemorrhagic recurrences were observed. Minor complications occurred in two cases. One major complication involved splenic infarction due to glue migration, requiring splenectomy and intensive unit care admission. Conclusions: Retrograde embolization of high-flow PDA aneurysms is effective and safe without needing celiac trunk revascularization.<\/jats:p>","DOI":"10.3390\/jcm13237063","type":"journal-article","created":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T07:54:20Z","timestamp":1732262060000},"page":"7063","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Title: Is Celiac Trunk Revascularization Necessary After High-Flow Pancreaticoduodenal Arterial Arcades Aneurysm Retrograde Embolization?"],"prefix":"10.3390","volume":"13","author":[{"given":"Mohamed Salim","family":"Jazzar","sequence":"first","affiliation":[{"name":"Medical Imaging Department, Henri Mondor University Hospital Assistance Publique-H\u00f4pitaux de Paris, 51 Avenue du Mar\u00e9chal de Lattre de Tassigny, 94010 Cr\u00e9teil, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hicham","family":"Kobeiter","sequence":"additional","affiliation":[{"name":"Medical Imaging Department, Henri Mondor University Hospital Assistance Publique-H\u00f4pitaux de Paris, 51 Avenue du Mar\u00e9chal de Lattre de Tassigny, 94010 Cr\u00e9teil, France"},{"name":"Faculty of Health Sciences, University of Paris Est-Creteil, 94000 Cr\u00e9teil, France"},{"name":"Institut Mondor de Recherche Biom\u00e9dicale, Inserm U955, Team 8, 94000 Cr\u00e9teil, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Ghosn","sequence":"additional","affiliation":[{"name":"Medical Imaging Department, Henri Mondor University Hospital Assistance Publique-H\u00f4pitaux de Paris, 51 Avenue du Mar\u00e9chal de Lattre de Tassigny, 94010 Cr\u00e9teil, France"},{"name":"Faculty of Health Sciences, University of Paris Est-Creteil, 94000 Cr\u00e9teil, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raphael","family":"Amar","sequence":"additional","affiliation":[{"name":"Medical Imaging Department, Ambroise Par\u00e9 University Hospital Assistance Publique-H\u00f4pitaux de Paris, 9 Av. Charles de Gaulle, 92100 Boulogne-Billancourt, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Youssef","family":"Zaarour","sequence":"additional","affiliation":[{"name":"Medical Imaging Department, Henri Mondor University Hospital Assistance Publique-H\u00f4pitaux de Paris, 51 Avenue du Mar\u00e9chal de Lattre de Tassigny, 94010 Cr\u00e9teil, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8827-4740","authenticated-orcid":false,"given":"Athena","family":"Galletto Pregliasco","sequence":"additional","affiliation":[{"name":"Medical Imaging Department, Henri Mondor University Hospital Assistance Publique-H\u00f4pitaux de Paris, 51 Avenue du Mar\u00e9chal de Lattre de Tassigny, 94010 Cr\u00e9teil, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pascal","family":"Desgranges","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, University of Paris Est-Creteil, 94000 Cr\u00e9teil, France"},{"name":"Institut Mondor de Recherche Biom\u00e9dicale, Inserm U955, Team 8, 94000 Cr\u00e9teil, France"},{"name":"Vascular Surgery Department, Henri Mondor University Hospital Assistance Publique-H\u00f4pitaux de Paris, 51 Avenue du Mar\u00e9chal de Lattre de Tassigny, 94010 Cr\u00e9teil, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vania","family":"Tacher","sequence":"additional","affiliation":[{"name":"Medical Imaging Department, Henri Mondor University Hospital Assistance Publique-H\u00f4pitaux de Paris, 51 Avenue du Mar\u00e9chal de Lattre de Tassigny, 94010 Cr\u00e9teil, France"},{"name":"Faculty of Health Sciences, University of Paris Est-Creteil, 94000 Cr\u00e9teil, France"},{"name":"Institut Mondor de Recherche Biom\u00e9dicale, Inserm U955, Team 18, 94000 Cr\u00e9teil, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mostafa","family":"El Hajjam","sequence":"additional","affiliation":[{"name":"Medical Imaging Department, Ambroise Par\u00e9 University Hospital Assistance Publique-H\u00f4pitaux de Paris, 9 Av. Charles de Gaulle, 92100 Boulogne-Billancourt, France"},{"name":"Faculty of Medicine, University of Paris Saclay, 91190 Gif-sur-Yvette, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1714-0742","authenticated-orcid":false,"given":"Haytham","family":"Derbel","sequence":"additional","affiliation":[{"name":"Medical Imaging Department, Henri Mondor University Hospital Assistance Publique-H\u00f4pitaux de Paris, 51 Avenue du Mar\u00e9chal de Lattre de Tassigny, 94010 Cr\u00e9teil, France"},{"name":"Institut Mondor de Recherche Biom\u00e9dicale, Inserm U955, Team 18, 94000 Cr\u00e9teil, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,11,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1007\/s00270-023-03620-w","article-title":"CIRSE Standards of Practice for the Endovascular Treatment of Visceral and Renal Artery Aneurysms and Pseudoaneurysms","volume":"47","author":"Rossi","year":"2024","journal-title":"CardioVascular Interv. 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