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KMID : 1103720140710040173
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Journal of the Korean Society of Radiology
2014 Volume.71 No. 4 p.173 ~ p.177
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Percutaneous N-Butyl Cyanoacrylate Embolization of a Pancreatic Pseudoaneurysm after Failed Attempts of Transcatheter Embolization
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Kim Ri-Hyeon
Yoo Roh-Eul
Kim Hyo-Cheol
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Abstract
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One common complication after major pancreatic surgery is bleeding. Herein we describe a case of pancreatic pseudoaneurysm which developed after pylorous preserving pancreaticoduodenectomy for common bile duct cancer. Three attempts of transcatheter embolization failed since feeders to the pseudoaneurysm had unfavorable anatomy. Direct percutaneous N-butyl cyanoacrylate injection was performed under fluoroscopy-guidance and the pseudoaneurysm was successfully treated. Percutaneous fluoroscopy-guided direct N-butyl cyanoacrylate injection may be a useful alternative when selective transcatheter embolization fails or is technically challenging.
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KEYWORD
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Pancreatic Pseudoaneurysm, Direct Glue Embolization, Transcatheter Embolization
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