Treatment of Visceral Artery Aneurysms: Description of a Retrospective Series of 42 Aneurysms in 34 Patients

Sessa, Carmine; Tinelli, Giovanni; Porcu, Paolo; Aubert, Axel; Thony, F.; Magne, Jean-Luc

doi:10.1007/s10016-004-0112-8

Cited by 209 publications

(167 citation statements)

References 32 publications

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“…Transcatheter embolization has traditionally been the mainstay of endovascular treatment for bleeding visceral arteries and has become widely accepted as the first-line modality of treatment in this area (4,9,14,21,22). Endovascular techniques can be applied to patients who cannot tolerate surgery and even those who have had an unrewarding surgery.…”

Section: Discussionmentioning

confidence: 99%

“…For this reason, we support the premise that preventive measures such as endovascular intervention or surgery should be undertaken as soon as the pseudoaneurysm is discovered. With respect to the treatment of acute bleeding or arterial pseudoaneurysms, surgery and endovascular techniques are the two primary options (21)(22)(23). The former is often challenging, especially when there is severe inflammation, and there is often the need to simultaneously perform necrosectomy and debridement along with pancreatectomy or splenectomy (1).…”

Section: Discussionmentioning

confidence: 99%

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Endovascular intervention for management of pancreatitis-related bleeding: a retrospective analysis of thirty-seven patients at a single institution

Kim¹,

Shin²,

Yoon³

et al. 2015

Diagn Interv Radiol

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thirty-seven patients underwent endovascular intervention for the management of pancreatitis-related hemorrhage. The underlying etiology of the disease, clinical symptoms and laboratory findings, abnormalities seen on computed tomography, and details regarding the endovascular procedures were assessed, as were the outcome of each procedure and procedure-related complications. RESULTSA total of 41 endovascular procedures were performed in 37 patients. The splenic artery (34.8%) was the most commonly treated artery, and pseudoaneurysm was the most commonly detected abnormality on digital subtraction angiography (78.3%). Transcatheter embolization was performed in the majority of patients (95.1%), while two patients were treated with stent-grafts. Successful hemostasis without rebleeding was achieved in 34 patients (91.9%). Two cases of rebleeding were successfully treated by reintervention. Focal splenic infarction, which developed in eight patients, was either asymptomatic or accompanied by mild, transient fever. Splenic abscess was the only major complication occurring in three patients. Two of these patients died from resulting sepsis, while the third recovered after antibiotic treatment. CONCLUSION Endovascular management is effective for achieving hemostasis in patients with pancreatitis-related bleeding and demonstrates low recurrence and mortality rates.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Endovascular intervention for management of pancreatitis-related bleeding: a retrospective analysis of thirty-seven patients at a single institution

Kim¹,

Shin²,

Yoon³

et al. 2015

Diagn Interv Radiol

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“…Patients with SMA aneurysms may be asymptomatic or may have symptoms. 2,3 To our knowledge, this is the first report describing SMA aneurysm caused by DeBakey type I aortic dissection, which was treated by endovascular covered stent graft.…”

Section: Discussionmentioning

confidence: 91%

“…There are many different techniques of embolization using different materials, including coils, stent grafts, and liquid agents and concluded that these modalities are safe and feasible therapeutic options, but their long-term results have not yet to be determined. 2,3 Our patient had high operative mortality and morbidity(DeBakey type I aortic dissection had been treated with Benthall procedure 3 year before). Therefore we decided to proceed percutaneous endovascular stent placement.…”

Section: Discussionmentioning

confidence: 93%

Superior Mesenteric Artery Aneurysm Due to Chronic Aortic Dissection

Taşoğlu¹,

Lafçı²,

Ulaş³

et al. 2012

Sakarya Med J

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“…In addition, performing MDCT to estimate the site of vascular injury could greatly impact individual treatment strategies. Determining whether it is technically possible to perform vascular embolization or whether surgical treatment is required is an important element in deciding treatment policy together with general patient status and clinical findings [18][19][20] . Having a better preoperative understanding of the vascular anatomical features of a case could also enhance the success of vascular embolization or surgery ; for example, in pursuing vascular embolization, MDCT could influence the choice of device such as a catheter, while for surgical treatment the MDCT findings could influence the choice of procedure 19 .…”

Section: Discussionmentioning

confidence: 99%

Investigating of the Usefulness of Multidetector-row Computed Tomography for Diagnosing Abdominal Visceral Pseudoaneurysms

Hosaka

Gokan

et al. 2015

Showa Univ J Med Sci

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: Abdominal visceral pseudoaneurysms are rare, but rapid diagnosis is clinically important because of the associated conditions that are often fatal. Multidetector-row computed tomography MDCT is important in the diagnosis and treatment of many human conditions. This study thus sought to investigate the usefulness of MDCT for diagnosing abdominal visceral pseudoaneurysms. We retrospectively assessed the MDCT diagnosis of pseudoaneurysms and identi cation of the responsible vessels or cases diagnosed with an abdominal visceral pseudoaneurysm via angiography. The study comprised 35 patients who underwent MDCT preoperatively and in whom angiography detected an abdominal visceral pseudoaneurysm over a 7-year period. Using the angiography ndings as the gold standard, we investigated whether a pseudoaneurysm and the responsible vessel could be diagnosed using preoperatively imaged MDCT findings. For angiography and MDCT, diagnosis was reached on the basis of two radiologists agreement. Of 35 patients 28 males and 7 females , the median subject age was 67 years range : 22-84 years . We found that MDCT could preoperatively detect abnormal ndings such as hematomas in all patients. MDCT detected the presence of a pseudoaneurysm in 88.6 31 / 35 of patients and identi ed the responsible vessel in 71 25 / 35 of patients. In 6 patients, MDCT ndings could successfully reveal both the pseudoaneurysm and the extravasation. MDCT was effective for diagnosing abdominal visceral pseudoaneurysms and it could be useful for determining treatment strategies and aiding treatment techniques in such patients.

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Treatment of Visceral Artery Aneurysms: Description of a Retrospective Series of 42 Aneurysms in 34 Patients

Cited by 209 publications

References 32 publications

Endovascular intervention for management of pancreatitis-related bleeding: a retrospective analysis of thirty-seven patients at a single institution

Endovascular intervention for management of pancreatitis-related bleeding: a retrospective analysis of thirty-seven patients at a single institution

Superior Mesenteric Artery Aneurysm Due to Chronic Aortic Dissection

Investigating of the Usefulness of Multidetector-row Computed Tomography for Diagnosing Abdominal Visceral Pseudoaneurysms

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