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Sutton-Kadir Syndrome can be treated safely with endovascular embolisation alone.
Chidambaram, Rama; Soares, Julian; Hicks, Rhiannon; Samuelson, Shaun; Tibballs, Jonathan; Ferguson, John; Jansen, Shirley.
Afiliación
  • Chidambaram R; Department of Vascular and Endovascular Surgery, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.
  • Soares J; Department of Radiology, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.
  • Hicks R; Department of Vascular and Endovascular Surgery, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.
  • Samuelson S; Department of Radiology, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.
  • Tibballs J; Department of Radiology, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.
  • Ferguson J; Department of Radiology, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.
  • Jansen S; Department of Vascular and Endovascular Surgery, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.
J Med Imaging Radiat Oncol ; 68(3): 289-296, 2024 Apr.
Article en En | MEDLINE | ID: mdl-38437188
ABSTRACT

INTRODUCTION:

Sutton-Kadir Syndrome (SKS) describes true inferior pancreaticoduodenal artery (IPDA) aneurysms in the setting of coeliac artery (CA) stenosis or occlusion. Although rare, SKS aneurysms can rupture and cause morbidity. Due to its rarity and lack of controlled treatment data, correct treatment for the CA lesion is currently unknown. Our aim was to assess if endovascular embolisation alone was safe and effective in treatment of SKS aneurysms, in emergent and elective settings. Secondary objectives were to describe presentation and imaging findings.

METHODS:

A retrospective cohort study of patients treated at Sir Charles Gairdner Hospital between January 2014 and December 2021 was done. Data on presentation, diagnostics, aneurysm characteristics, CA lesion aetiology, treatment and outcomes were extracted from chart review.

RESULTS:

Twenty-four aneurysms in 14 patients were identified. Rupture was seen in 7/15 patients. Most aneurysms (22/24) were in the IPDA or one of its anterior or posterior branches. Median arcuate ligament (MAL) compression was identified in all. There was no difference in median (IQR) maximal transverse diameter between ruptured and non-ruptured aneurysms (6 mm (9), 12 mm (6), P = 0.18). Of ruptures, 6/7 had successful endovascular embolisation and 1/7 open surgical ligation. Of non-ruptures, 6/7 had successful endovascular embolisation, 1/7 open MAL division then endovascular CA stenting and aneurysm embolisation. No recurrences or new aneurysms were detected with computed tomography or magnetic resonance angiography over a median (IQR) follow-up period of 30 (10) months in 12 patients.

CONCLUSION:

Endovascular embolisation of SKS aneurysms without treatment of MAL compression is safe and effective in both the emergent and elective settings.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Embolización Terapéutica / Procedimientos Endovasculares Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Med Imaging Radiat Oncol Asunto de la revista: DIAGNOSTICO POR IMAGEM / NEOPLASIAS / RADIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Australia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Embolización Terapéutica / Procedimientos Endovasculares Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Med Imaging Radiat Oncol Asunto de la revista: DIAGNOSTICO POR IMAGEM / NEOPLASIAS / RADIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Australia