Endovascular Management of the Sutton-Kadir Syndrome: A Case Report.

Sutton-Kadir Syndrome (SKS) involves rare inferior pancreaticoduodenal artery (IPDA) aneurysms with celiac artery (CA) stenosis. These aneurysms carry a greater risk of rupture and therefore require treatment. Endovascular methods offer an alternative to open surgery. We present a 54-year-old woman with CA occlusion and a 35 mm IPDA aneurysm. Due to patient preference, a staged endovascular approach was used: first, superior mesenteric artery (SMA) angiography and CA stenting, then IPDA aneurysm coil embolization. Follow-up imaging showed successful aneurysm occlusion. Endovascular treatment is effective for visceral aneurysms, especially when open surgery is not feasible. Preserving hepatic flow during embolization is crucial. Close follow-up is needed due to reperfusion risk. This case supports endovascular management of SKS.Clinical ImpactThis study highlights a minimally invasive, staged endovascular strategy for managing pancreaticoduodenal artery aneurysms associated with celiac artery occlusion. The approach demonstrates that effective aneurysm exclusion can be achieved while preserving hepatic perfusion, even in patients unsuitable or unwilling to undergo open surgery. For clinicians, it underscores the importance of individualized treatment planning, particularly the role of celiac revascularization prior to embolization in selected cases. The innovation lies in combining revascularization and embolization in a staged manner to optimize safety and outcomes. This supports a shift toward endovascular-first management in similar vascular pathologies.