IDDF2018-ABS-0020 Spectrum of pseudoaneurysms complicating acute pancreatitis and its radiologic management

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Abstract

Background

The aim of the present study was to study the spectrum of pseudoaneurysms secondary to acute pancreatitis, endovascular therapy and outcome of pseudoaneurysms.

Methods

Patients with acute pancreatitis with pseudoaneurysm who underwent angiography and coiling of pseudo-aneurysm between Jan 2015 to Jan 2016 were included.

Results

Twenty patients of pseudoaneurysms associated with acute pancreatitis were included.

Results

The diagnosis of a pseudoaneurysm was made on computerised tomography (CT) angiography in all the patients.

Results

At angiography, coil embolisation was attempted in 7 patients, glue in 8 patients and coil with glue in 3 patients in the initial sitting. Two patients were taken for percutaneous thrombin occlusion of pseudo-aneurysm, but both had non-obliteration of the pseudo-aneurysm. One underwent coiling, and another had coil along with stent insertion done. There were no episodes of re-bleeding following embolisation. The average size of the pseudo-aneurysm was 8.25 mm. All the patients had single pseudo-aneurysm in the present series.

Results

All patients that were successfully treated demonstrated radiological resolution of their pseudoaneurysms, with a median follow-up of 10 months.

Conclusions

Endovascular embolisation is a suitable first-line management strategy for the management of visceral artery pseudoaneurysm complicating acute pancreatitis with low recurrence rates.

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