Evidence map›Paper›PMID 42137423›Full record

ArticleActa radiologica open2026

Transcatheter arterial embolization for gastroepiploic artery aneurysms: A single-center retrospective 12 case series.

Nobuo Waguri, Akihiko Osaki, Takashi Owaki, Junji Kohisa, Kennichi Takaku, Munehiro Sato

Abstract read
In one paragraph

Article in Acta radiologica open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Nobuo WaguriDepartment of Gastroenterology and Hepatology, Niigata City General Hospital, Niigata, Japan.ORCID https://orcid.org/0000-0001-6880-7546
Akihiko OsakiDepartment of Gastroenterology and Hepatology, Niigata City General Hospital, Niigata, Japan.
Takashi OwakiDepartment of Gastroenterology and Hepatology, Niigata City General Hospital, Niigata, Japan.
Junji KohisaDepartment of Gastroenterology and Hepatology, Niigata City General Hospital, Niigata, Japan.
Kennichi TakakuDepartment of Gastroenterology and Hepatology, Niigata City General Hospital, Niigata, Japan.
Munehiro SatoDepartment of Gastroenterology and Hepatology, Niigata City General Hospital, Niigata, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Gastroepiploic artery aneurysms (GEAAs) and their rupture are very rare but often serious. However, emergency management has yet to be standardized. Purpose: To clarify the clinical features of GEAAs and outcomes of transcatheter arterial embolization (TAE). Materials and Methods: This is a retrospective, single-center 12 case series of GEAAs experienced between 2006 and 2023. We reviewed medical records to determine the case background, angiographic images, TAE techniques and success rate, and outcomes. Abdominal angiography was performed via the femoral artery to identify the inflow and outflow vessels of the GEAAs. Subsequently, a microcatheter was advanced to the target site, and embolization was performed with microcoils and/or NBCA-Lipiodol mixture. Results: Nine ruptured and one unruptured pseudo-GEAA cases were treated by emergency TAE, while the remaining two unruptured cases were treated electively. The average diameter of the ruptured GEAAs was 7.9 mm. The most common underlying diseases were segmental arterial mediolysis in 4 cases. Morphological classification revealed 5 cases of dissecting, 4 of pseudo, and 3 of true. TAE was successful in seven of the nine ruptured and in all three unruptured cases. Two patients with ruptured GEAAs after unsuccessful TAE were subsequently saved by surgery. TAE using the triple coaxial catheter system was performed in 7 cases with good results. Conclusions: Even small-diameter GEAAs can rupture, resulting in life-threatening conditions, but emergency TAE is safe and effective. However, there are some cases in which TAE fails, so it is important to make a prompt decision to proceed to surgical treatment.

Indexed as

gastroepiploic artery aneurysmstranscatheter arterial embolizationtriple-coaxial catheter system

Identifiers

PMID42137423
PMCPMC13167314

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