ENDOVASCULAR TREATMENT OF PSEUDOANEURYSM OF THE SUPERIOR MESENTERIC ARTERY IN A PATIENT WITH ARROSIVE BLEEDING INTO A PANCREATIC PSEUDOCYST
Authors:   Medical Institute of Continuing Education, Russian Biotechnological University (ROSBIOTECH), Moscow, Russia, Ivanov A.V. ,   National Medical Research Center for High Medical Technologies, Central Military Clinical Hospital named after A.A. Vishnevsky, Moscow region, Krasnogorsk, Russia,   Peoples’ Friendship University of Russia», Moscow, Russia, Aliyarova S.R. ,   National Medical Research Center for High Medical Technologies, Central Military Clinical Hospital named after A.A. Vishnevsky, Moscow region, Krasnogorsk, Russia, Ivanov V.A. ,   Branch of the Military Medical Academy named after S.M. Kirov, Moscow, Russia, Aliyarov R.A. ,   National Medical Research Center for High Medical Technologies, Central Military Clinical Hospital named after A.A. Vishnevsky, Moscow region, Krasnogorsk, Russia, Shabaev R.M. ,   Medical Institute of Continuing Education, Russian Biotechnological University (ROSBIOTECH), Moscow, Russia,   National Medical Research Center for High Medical Technologies, Central Military Clinical Hospital named after A.A. Vishnevsky, Moscow region, Krasnogorsk, Russia, Maksanov S.D. ,   National Medical Research Center for High Medical Technologies, Central Military Clinical Hospital named after A.A. Vishnevsky, Moscow region, Krasnogorsk, Russia, Esion G.A. ,   National Medical Research Center for High Medical Technologies, Central Military Clinical Hospital named after A.A. Vishnevsky, Moscow region, Krasnogorsk, Russia
Published: December 2024

Background. This article is devoted to the analysis of a clinical case with a serious complication of chronic pancreatitis involving the wall of the superior mesenteric artery and the formation of a false aneurysm. Particular attention is paid to the possibilities of endovascular surgery in the treatment of this category of patients, as well as the causes and mechanisms of development of vascular complications.
Purpose. Research and analysis of the effectiveness of arterial stenting using a stent graft in identifying erosion of the visceral artery wall with fibrous capsule formation, and determining the possibility of its complex use with radiocontrast angiography to develop optimal treatment strategies for this pathology.
Materials and methods. The methodological basis of surgical interventions is determined by modern high-tech methods of cognition. This article uses structural-functional, logical and predictive methods of scientific knowledge.
Results. The analysis of the clinical case and data from instrumental diagnostic methods confirms that this method should be applied much more widely due to many advantages indicated in world practice.
Conclusion. The organization of highly specialized medical care implies the correct rational use of all modern treatment methods for patient’s treatment and early rehabilitation. The use of this stent graft implantation technique in highly specialized medical institutions currently requires careful analysis of diagnostic data in a favorable prognosis of endovascular interventions with discussion of each specific clinical situation by a multidisciplinary team of specialists, including vascular surgeons, doctors on X-ray endovascular diagnostic and treatment methods, cardiac surgeons and other specialists. The composition of the consultation will depend on the severity and area of the patient’s lesion, concomitant pathology, planned related surgeries and technical capabilities of the clinic.