Endovascular Management of Visceral Artery Aneurysm

Kasirajan, Karthikeshwar; Greenberg, Roy K.; Clair, Daniel G.; Ouriel, Kenneth

doi:10.1177/152660280100800209

Cited by 104 publications

(75 citation statements)

References 19 publications

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“…Favorable aneurysm morphology for embolization includes saccular aneurysms with a narrow neck or a fusiform shaped aneurysm with adequate collateral flow and aneurysms of vessels that do not supply end organs [21]. Coils or other embolic agents like Onyx (ev3 Inc. Irvine, Ca) and N-Butyl Cyanoacrylate (NBCA) are being used for embolization of the aneurysms.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous transcatheter arterial embolization of inferior pancreatico‐duodenal artery aneurysms associated with celiac artery stenosis or occlusion

Dave

Sharma

Kwolek

et al. 2010

Cathet Cardio Intervent

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Section: Discussionmentioning

confidence: 99%

Percutaneous transcatheter arterial embolization of inferior pancreatico‐duodenal artery aneurysms associated with celiac artery stenosis or occlusion

Dave

Sharma

Kwolek

et al. 2010

Cathet Cardio Intervent

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“…Hepatic and splenic aneurysms (true and false) account for the major chunk (~ 80%) of all such cases. [1][2][3] Hepatic artery pseudoaneurysms (HAPs) (80%) are more common than true aneurysms (20%). 4 HAPs result from various inflammatory, traumatic, vasculitic and infective causes.…”

Section: Introductionmentioning

confidence: 99%

Minimally invasive image-guided interventional management of hepatic artery pseudoaneurysms

Vyas¹

2014

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“…In regards to the follow-up imaging modality, CT examination was reported in 13 publications and was thus the most widely used (7,(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24). In fact, CT was the only follow-up examination method used in nine of these publications (13,14,16,(19)(20)(21)(22)(23)(24). Follow-up outcomes of completely thrombosed aneurysms were reported in 11 publications (6, 13-16, 18-20, 22-24), 10 of which were evaluated by CT (13-16, 18-20, 22-24).…”

Section: Discussionmentioning

confidence: 99%

“…Methods for follow-up imaging after endovascular treatment of vis- (6,7,(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24). In regards to the follow-up imaging modality, CT examination was reported in 13 publications and was thus the most widely used (7,(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24). In fact, CT was the only follow-up examination method used in nine of these publications (13,14,16,(19)(20)(21)(22)(23)(24).…”

Section: Discussionmentioning

confidence: 99%

Follow-up of true visceral artery aneurysm after coil embolization by three-dimensional contrast-enhanced MR angiography

Koganemaru¹,

Abe²,

Nonoshita³

et al. 2014

Diagn Interv Radiol

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ORIGINAL ARTICLE PURPOSE We aimed to evaluate the outcomes of coil embolization of true visceral artery aneurysms by three-dimensional contrast-enhanced magnetic resonance (MR) angiography. MATERIALS AND METHODSWe used three-dimensional contrast-enhanced MR angiography, which included source images, to evaluate 23 patients (mean age, 60 years; range, 28-83 years) with true visceral artery aneurysms (splenic, n=15; hepatic, n=2; gastroduodenal, n=2; celiac, n=2; pancreaticoduodenal, n=1; gastroepiploic, n=1) who underwent coil embolization. Angiographic aneurysmal occlusion was revealed in all cases. Follow-up MR angiography was conducted with either a 1.5 or 3 Tesla system 3-25 months (mean, 18 months) after embolization. MR angiography was evaluated for aneurysmal occlusion, hemodynamic status, and complications. RESULTSComplete aneurysmal occlusion was determined in 22 patients (96%) on follow-up MR angiography (mean follow-up period, 18 months). Neck recanalization, which was observed at nine and 20 months after embolization, was confirmed in one of eight patients (13%) using a neck preservation technique. In this patient, a small neck recanalization covered by a coil mass was demonstrated. The complete hemodynamic status after embolization was determined in 21 patients (91%); the visualization of several collateral vessels, such as short gastric arteries, after parent artery occlusion was poor compared with that seen on digital subtraction angiography in the remaining two patients (9%). An asymptomatic localized splenic infarction was confirmed in one patient (4%). CONCLUSIONOur study presents the follow-up results from three-dimensional contrast-enhanced MR angiography, which confirmed neck recanalization, the approximate hemodynamic status, and complications. This effective and less invasive method may be suitable for serial follow-up after coil embolization of true visceral aneurysms.

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Endovascular Management of Visceral Artery Aneurysm

Cited by 104 publications

References 19 publications

Percutaneous transcatheter arterial embolization of inferior pancreatico‐duodenal artery aneurysms associated with celiac artery stenosis or occlusion

Percutaneous transcatheter arterial embolization of inferior pancreatico‐duodenal artery aneurysms associated with celiac artery stenosis or occlusion

Minimally invasive image-guided interventional management of hepatic artery pseudoaneurysms

Follow-up of true visceral artery aneurysm after coil embolization by three-dimensional contrast-enhanced MR angiography

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