Arterial splanchnic aneurysms: Presentation, treatment and outcome in 112 patients

Tétreau, Raphaël; Beji, H.; Henry, Luc; Pj, Valette; Pilleul, F.

doi:10.1016/j.diii.2015.06.014

Cited by 29 publications

(20 citation statements)

References 44 publications

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“…However, due to high mortality of rupture, all pseudoaneurysms require treatment as soon as detected ( 1 27 ). Since pseudoaneurysms have thin walls, their size has no correlation with the risk of rupture ( 1 11 28 ). Small pseudoaneurysms may cause life threatening hemorrhage, while a large pseudoaneurysm may be detected incidentally.…”

Section: Interventional Managementmentioning

confidence: 99%

“…Small pseudoaneurysms may cause life threatening hemorrhage, while a large pseudoaneurysm may be detected incidentally. However, this is not the case with true aneurysms that need treatment when sized > 2 cm or with mass effect ( 5 11 28 ). Embolization for incidentally detected pseudoaneurysms in asymptomatic patients is still controversial.…”

Section: Interventional Managementmentioning

confidence: 99%

See 1 more Smart Citation

Interventional Radiology in the Management of Visceral Artery Pseudoaneurysms: A Review of Techniques and Embolic Materials

et al. 2016

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Visceral artery pseudoaneurysms occur mostly as a result of inflammation and trauma. Owing to high risk of rupture, they require early treatment to prevent lethal complications. Knowledge of the various approaches of embolization of pseudoaneurysms and different embolic materials used in the management of visceral artery pseudoaneurysms is essential for successful and safe embolization. We review and illustrate the endovascular, percutaneous and endoscopic ultrasound techniques used in the treatment of visceral artery pseudoaneurysm and briefly discuss the embolic materials and their benefits and risks.

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Section: Interventional Managementmentioning

confidence: 99%

Section: Interventional Managementmentioning

confidence: 99%

Interventional Radiology in the Management of Visceral Artery Pseudoaneurysms: A Review of Techniques and Embolic Materials

et al. 2016

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“…Patient 2 had both of these risk factors. However, aneurysms of the gastric arteries are much rarer, representing only about 2% of true splanchnic artery aneurysms [15]. In addition, the gastric histopathology in patient 2 was more consistent with a primary developmental arterial vascular defect rather than a secondary aneurysmal weakening of the vessel walls.…”

Section: Discussionmentioning

confidence: 99%

Extracranial Aneurysms in 2 Patients with Autosomal Recessive Polycystic Kidney Disease

Elchediak

Cahill

Furth

et al. 2017

Case Rep Nephrol Dial

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Unlike autosomal dominant polycystic kidney disease (ADPKD), autosomal recessive polycystic kidney disease (ARPKD) is not generally known to be associated with vascular abnormalities. Only 4 cases of ARPKD patients with intracranial aneurysms have been reported previously. We present 2 ARPKD patients with extracranial vascular abnormalities: a young man with infrarenal aortic and iliac artery aneurysms complicated by dissection and a teenage girl with multiple splenic and gastric artery aneurysms and arterial vascular malformations. These cases raise the question of whether vascular integrity and development may be impaired in ARPKD, perhaps through molecular mechanisms overlapping with ADPKD. This possibility is supported by studies in mice that show ARPKD gene expression in the walls of large blood vessels.

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“…25 In another series, the mean size at time of rupture was reported to be 9 mm. 26 Risk factors for rupture of true PDAA are large size or expanding aneurysm and for false PDAA are ongoing inflammatory process or trauma. 8 Even a small pseudoaneurysm of the PDA constantly exposed to leaking proteolytic enzymes in the setting of pancreatitis or a penetrating duodenal ulcer is more prone to rupture.…”

Section: Figurementioning

confidence: 99%

Aneurysms of pancreaticoduodenal arcade: Clinical profile and endovascular strategies

et al. 2020

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Background and Aim: Pancreaticoduodenal arcade aneurysms (PDAAs) are uncommon lesions associated with a significant risk of rupture and mortality. This study describes the etiology, clinical presentation, and endovascular management strategies of PDAAs across a spectrum of indications. Methods: The clinical records of patients with PDAAs referred for endovascular management from January 2018 till November 2019 were retrospectively reviewed. Data on presenting symptoms, associated etiologies, and outcomes after endovascular treatment were collected and studied. Results: We found 15 patients with false and 1 patient with true aneurysm of pancreatoduodenal arcade (PDA). The associated conditions were coeliac artery stenosis, severe necrotizing pancreatitis, and chronic pancreatitis or iatrogenic (postendoscopic papillotomy and percutaneous metallic biliary stenting). The main presenting feature was gastrointestinal bleed, while 2 patients had abdominal pain and 1 had gastric outlet obstruction. A multiphase computed tomography scan demonstrated the ruptured aneurysm in all patients. Site of origin of PDAA influenced the choice of transarterial endovascular strategy (coiling for aneurysms of main trunk of arteries and glue injection for those arising from small arterial branches). This was carried out in an emergency setting for 12 patients and as an elective procedure in 4 patients. Technical success was demonstrated in all patients and clinical success in 14. The two patients who had rebleed were salvaged by repeat endovascular procedure. Postembolization syndrome was seen in three patients. Conclusions: With advancing technology, endovascular strategies continue to evolve. Careful attention to ensure hemodynamic resuscitation and stability, correction of preexisting coagulopathy and attention to technique can lead to the possibility of endovascular approaches as a dependable option in the management of ruptured PDAAs.

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Arterial splanchnic aneurysms: Presentation, treatment and outcome in 112 patients

Cited by 29 publications

References 44 publications

Interventional Radiology in the Management of Visceral Artery Pseudoaneurysms: A Review of Techniques and Embolic Materials

Interventional Radiology in the Management of Visceral Artery Pseudoaneurysms: A Review of Techniques and Embolic Materials

Extracranial Aneurysms in 2 Patients with Autosomal Recessive Polycystic Kidney Disease

Aneurysms of pancreaticoduodenal arcade: Clinical profile and endovascular strategies

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