Treatment of a Celiac Trunk Aneurysm Close to the Hepato-splenic Bifurcation by Using Hepatic Stent-graft Implantation and Splenic Artery Embolization

Abstract

We present a case of a 73-year-old man in whom a celiac trunk aneurysm close to the hepato-splenic bifurcation was discovered and treated by using celiac-hepatic stent-grafts implantation and splenic artery embolization.

Endovascular repair of a celiac trunk aneurysm with a new multilayer stent

“…All of these characteristics may help to reduce the shear stresses on the diseased arterial wall and increase the formation of an organized thrombus. 14,15 In a previous report, 16 we described a "reversed" version of the technique initially reported by Basile et al 15 We decided to implant the stents into the celiac-splenic artery, exploiting the patency of the portal vein and the superior mesenteric artery. The liver can well bear a potential occlusion of the hepatic artery, provided that the portal vein is open and no arterial obstructive disease synchronously has affected the superior mesenteric artery, as was observed in this patient.…”

“…They concluded that the many side collaterals, especially from the gastric and pancreaticoduodenal arter- ies, could support the celiac artery territory and that portal vein or superior mesenteric artery occlusions are the only exclusion criteria that need to be taken into account. [14][15][16] The recent advent of a new type of stent has offered a potential endovascular alternative to manage CAAs involving one or more collateral vessels, thus potentially avoiding these concerns. The Cardiatis stent has been available in Europe since 2006, and the first successful use in humans was reported for a popliteal aneurysm in 2007.…”

ePTFE stent graft in non-steno-occlusive arterial disease: 2 centers retrospective study

“…In literature most studies describe the treatment of vascular lesions in a single body district: Fluency stent grafts have been used for the treatment of several peripheral lesions: subclavian and axillary artery [19][20][21][22], iliac artery and femoral artery [4,5,8,14,[23][24][25][26], celiac trunk [4,27].…”

Endovascular Treatment of Aneurysm of Splenic Artery Arising from Splenomesentric Trunk Using Stent Graft

“…Moreover the technique is time-consuming and prolapse of coils into SMA was a potential risk we wanted to avoid. Treatment of a celiac axis trunk aneurysm with stent graft has been reported ( 11 ). Using a stent graft allowed us to block the inflow into the aneurysm while maintaining flow in the SMA.…”