Endovascular pseudoaneurysm repair after distal pancreatectomy with celiac axis resection

Figure 3 Schema of the treatment course. A: The range of tumor invasion after the chemoradiation therapy (gray circle) and the resection line of the distal pancreatectomy with en-block celiac axis resection (DP-CAR) (double-headed arrow); B: After DP-CAR: Remnant pancreas head and the arcade of the pancreaticoduodenal artery; C: The pseudoaneurysm (P) at the CHA stump; D: Covered stent delivered via the IPDA (arrow). LGA: Left gastric artery; SpA: Splenic artery; CeA: Celiac axis; CHA: Common hepatic artery; SMA: Superior mesenteric artery; PV: Portal vein; PHA: Proper hepatic artery; GDA: Gastroduodenal artery; IPDA: Inferior pancreaticoduodenal artery; PVR: Portal vein resection.