Successful transcatheter arterial embolization of a ruptured right gastroepiploic artery aneurysm: A case report

Ishimine, Tohru; Tengan, Toshiho; Nakasu, Akio; Takara, Hiroaki

doi:10.1016/j.ijscr.2018.08.039

Cited by 6 publications

(4 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The objective of treatment for rupture is bleeding control, and depending upon the specific circumstances, either open surgery or EVT is performed. According to the literature, open surgery is the primary procedure utilized, but studies reporting the use of selective coil embolization have been increasing [75,76].…”

Section: Gastric Jejunal and Gastroepiploic Aneurysmsmentioning

confidence: 99%

Current management strategies for visceral artery aneurysms: an overview

et al. 2019

View full text Add to dashboard Cite

Visceral artery aneurysms (VAAs) are rare and affect the celiac artery, superior mesenteric artery, and inferior mesenteric artery, and their branches. The natural history of VAAs is not well understood as they are often asymptomatic and found incidentally; however, they carry a risk of rupture that can result in death from hemorrhage in the peritoneal cavity, retroperitoneal space, or gastrointestinal tract. Recent advances in imaging technology and its availability allow us to diagnose all types of VAA. VAAs can be treated by open surgery, laparoscopic surgery, endovascular therapy, or a hybrid approach. However, there are still no specific indications for the treatment of VAAs, and the best strategy depends on the anatomical location of the aneurysm as well as the clinical presentation of the patient. This article reviews the literature on the etiology, clinical features, diagnosis, and anatomic characteristics of each type of VAA and discusses the current options for their treatment and management.

show abstract

Section: Gastric Jejunal and Gastroepiploic Aneurysmsmentioning

confidence: 99%

Current management strategies for visceral artery aneurysms: an overview

et al. 2019

View full text Add to dashboard Cite

show abstract

“…The results of the present study are comparable with those of several previous OAA case reports. 3,4,16,17 TAE is a minimally invasive, effective, and safe treatment option for ruptured as well as unruptured OAA cases. Packed red blood cell transfusion was performed only in cases with ruptured OAAs, and more contrast medium during TAE was also used in cases with ruptured OAAs due to the necessity of checking complete hemostasis while performing multiple angiograms; however, no significant differences were observed in the hospitalization period or duration of TAE fluoroscopy.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and safety of transcatheter arterial embolization of omental artery aneurysm: A single-center experience

Nozawa,

Ono,

Hasegawa

et al. 2024

Asian Cardiovasc Thorac Ann

View full text Add to dashboard Cite

Background Omental artery aneurysm (OAA) is an extremely rare visceral artery aneurysm. Ruptured OAAs are associated with a high mortality rate. Transcatheter arterial embolization (TAE) has been used to treat OAA in recent years. However, the risk of omental ischemia due to TAE remains unclear. Therefore, this study aimed to investigate the efficacy and safety of TAE of OAA as a first-line treatment. Methods Fifteen patients with true aneurysms or pseudoaneurysms who underwent OAA-TAE between 1 April 2010 and 31 December 2022 were included in this study. The technical and clinical outcomes, the incidence of omental infarction after TAE as a major complication, OAA-TAE techniques, radiological findings on computed tomography angiography and angiogram, and patient characteristics were evaluated. Results Fifteen patients (nine men, six women; age, 69.8 ± 18.59 years) underwent TAE of OAAs (mean aneurysm size of 9.30 ± 6.10 mm) located in the right gastroepiploic ( n = 9), left gastroepiploic ( n = 1), and epiploic ( n = 5) arteries. All patients with ruptured ( n = 6) and unruptured ( n = 9) OAA successfully underwent TAEs using coils, n-butyl-2-cyanoacrylate, or gelatin sponges. Hepatic artery thrombosis and coil migration were observed during the procedure; however, these adverse events were manageable. Transfusion of red blood cell units (4.66 ± 1.63 units) was required only in cases with ruptured OAAs after TAE. Additional surgery or TAE due to rupture or rerupture of OAA and omental infarction was not required during the postoperative and follow-up periods. Conclusion The OAA-TAE can effectively treat ruptured and unruptured OAAs, and the risk of omental infarction after OAA-TAE may not be high.

show abstract

“…Many patients were previously diagnosed using angiography. However, increasing numbers of patients are being diagnosed with CE-CT. CE-CT is a very useful method for diagnosing ruptured GEAA because of its low invasiveness and high resolution 8 ) .…”

Section: Discussionmentioning

confidence: 99%

“…Open surgery should be immediately performed to control bleeding in patients with unstable vital signs, and laparoscopic surgery can be the treatment of choice for patients with stable vital signs. TAE is another treatment of choice for patients with stable vital signs and a high risk for surgery 8 ) . Our patient was at high risk for surgery because of his advanced age, and his vital signs were relatively stable with fluid replacement and blood transfusion; therefore, TAE, which is less invasive than surgery, was performed.…”

Section: Discussionmentioning

confidence: 99%

Intraperitoneal bleeding from the right gastroepiploic artery by endoscopic ultrasonography: a case report

et al. 2022

View full text Add to dashboard Cite

Objective: To describe the case of a patient with intraperitoneal bleeding from the gastroepiploic artery by endoscopic ultrasound who was successfully treated with transcatheter arterial coil embolization. Patient and Methods: An 87-year-old man was referred to our hospital for examination of a gallbladder tumor. Endoscopic ultrasonography was performed using an oblique-view echoendoscope. After the endoscopic ultrasound, the patient went into shock. Computed tomography revealed a huge intraperitoneal hematoma and an aneurysm in the right gastroepiploic artery that were not seen on previous computed tomography images. Thus, urgent catheter angiography was performed, which showed a pseudoaneurysm of the right gastroepiploic artery and extravasation of the contrast medium from the pseudoaneurysm. Results: Transcatheter arterial coil embolization was subsequently performed, and the bleeding stopped. Thereafter, his hemodynamics stabilized and his general condition improved. The patient was discharged 22 days post-treatment with an uneventful course. Conclusion: Observation-only endoscopic ultrasound without invasive procedures can cause intraperitoneal bleeding due to a ruptured splanchnic artery. Thus, endoscopic ultrasonography should be performed more carefully in elderly patients.

show abstract

Successful transcatheter arterial embolization of a ruptured right gastroepiploic artery aneurysm: A case report

Cited by 6 publications

References 12 publications

Current management strategies for visceral artery aneurysms: an overview

Current management strategies for visceral artery aneurysms: an overview

Efficacy and safety of transcatheter arterial embolization of omental artery aneurysm: A single-center experience

Intraperitoneal bleeding from the right gastroepiploic artery by endoscopic ultrasonography: a case report

Contact Info

Product

Resources

About