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We present 2 cases of ruptured true aneurysms of the pancreaticoduodenal arcade, underscoring the role of transcatheter arterial embolization (TAE) as the initial treatment of choice in pancreaticoduodenal arcade aneurysm. Ruptured true aneurysms of the pancreaticoduodenal artery (PDA) are uncommon and few cases have been reported, whereas false aneurysms are seen more often. The first patient we describe is a 63-year-old woman with an aneurysm of the PDA initially treated by TAE. The second case is a 67-year-old woman with an aneurysm of the inferior PDA post-operatively treated by TAE. In both patients TAE via a combined superior mesenteric artery and celiac axis approach was successful. Follow-up contrast-enhanced computed tomography showed prolonged occlusion of both aneurysms. A review of the literature concerning TAE supports our experience that TAE of ruptured aneurysms of the pancreaticoduodenal arcade, when feasible, is at least as effective as conventional surgery, but with lower morbidity and mortality. Therefore, TAE should be the initial treatment of choice in this group of patients. [ABSTRACT FROM AUTHOR]

High-flow priapism is characteristically diagnosed on clinical findings: a prolonged, non-painful erection with a delayed onset that develops after a penile or perineal trauma. If conservative measures fail arteriography is indicated, which shows a blush of extravasating contrast from an arterio-cavernous fistula (rarely, as in our case bilateral) that can be treated by embolization. The embolic agent is gelfoam or a microcoil. Bilateral embolization is indicated when unilateral treatment does not result in detumescence of the penis. When the embolization is done highly selective the risk of complications is low and the results on erectile function are good. [ABSTRACT FROM AUTHOR]

The article offers information on the use of Endoluminal arterial stents in angioplasty. It examines the use of arterial stents methodology for occlusive atherosclerotic disease below the inguinal ligament. It is revealed that the efficiency of stenting can be justified only for failed angioplasty or proper clinical trials.

Comments on the results of a study on femoropopliteal subintimal angioplasty, published on the 2000 'British Journal of Surgery,' vol. 87. Contradictions between the conclusion of a poor clinical success rate and study results; Advantages of using the procedure on an outpatient basis; Comparison between the method with the extraluminal procedure.