Visceral artery aneurysms: a single center experience

Grego, Franco; Lepidi, Sandro; Ragazzi, Roberto; Iurilli, Vincenzo; Stramanà, Rudi; Deriu, Giovanni P.

doi:10.1016/s0967-2109(02)00121-7

Cited by 93 publications

(49 citation statements)

References 22 publications

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“…4 With the imaging techniques available today, the current standard management for all hemorrhagic syndromes related to visceral artery aneurysm rupture is TAE. 7,[18][19][20] The 19% mortality rate associated with surgery of PDA aneurysm is significantly higher than that of embolization and nearly reaches statistical significance, despite the small number of cases reported. 17,18 Mandel et al have reported a 79% success rate and no mortality linked to the procedure, 21 but the majority of these studies have investigated embolization of pseudoaneurysms caused by pancreatitis or trauma.…”

Section: Discussionmentioning

confidence: 99%

True Aneurysm of the Pancreaticoduodenal Arteries: A Single Institution Experience

Katsura

Gushimiyagi

Takara

et al. 2010

Journal of Gastrointestinal Surgery

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Section: Discussionmentioning

confidence: 99%

True Aneurysm of the Pancreaticoduodenal Arteries: A Single Institution Experience

Katsura

Gushimiyagi

Takara

et al. 2010

Journal of Gastrointestinal Surgery

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“…2 Atherosclerotic disease is the most common cause, other rare causes include polyarteritis nodosa, Takayasu's disease, tuberculosis and Neurofibromatosis. 4 Most cases are asymptomatic, and symptomatic patients usually have abdominal pain, low back pain, pulsatile abdominal mass, hemorrhagic shock or collapse. Total of 54 cases of IMA aneurysm have been reported out of which 11 were associated with spontaneous rupture/leak, all of whom presented in shock, out of which 4 resulted in death.…”

Section: Discussionmentioning

confidence: 99%

Ruptured inferior mesenteric artery aneurysm in a patient with neurofibromatosis type I and its management

Sheth¹,

Kansakar²,

Agarwal³

et al. 2018

Int Surg J

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Inferior mesenteric artery aneurysm is very rare and are usually asymptomatic. A high mortality is associated with aneurysmal rupture. The purpose of this paper is to report occurrence of a rare disease and its treatment options. A 64 years old woman presented with complaints of lower abdominal pain radiating to back for 1month, with non-passage of stools for 5days, and had decreased appetite. She had features of Neurofibromatosis type I. On examination, she had tachycardia and had pallor, and abdominal examination showed lumps in right and left iliac fossa which progressively increased in size. Computed tomography scan showed features of leaking inferior mesenteric artery aneurysm with perianeurysmal hematoma. The patient was taken up for surgical exploration wherein after checking the bowel viability, the inferior mesenteric artery was clipped at its origin, ligated and divided followed by hematoma evacuation. Post-operative stay was uneventful, and the patient was discharged on post-operative day 10.

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“…Splenic artery aneurysms are the most common of the visceral artery aneurysms, accounting for up to 50 to 60% of splanchnic aneurysms [2,3]. The aneurysm can be considered to be either congenital or aquired in origin.…”

Section: Discussionmentioning

confidence: 99%

Selective embolization of splenic artery aneurysm – case report

et al. 2005

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Zusammenfassung. Grundlagen: Die Embolisation von Viszeralarterienaneurysmata wird zunehmend als sinnvolle und nützliche Alternative zur Operation gewertet.Methodik: Im vorgestellten Fall wurde das sakkuläre Aneurysma der Milzarterie an ihrer ersten Bifurkation therapeutisch mit einer supraselektiven Katheterembolisation mit Mikrospiralen ausgeschaltet.Ergebnisse: Nach einem Intervall von 4 Wochen wurde angiographisch noch eine Restperfusion (0,3 mal 0,6 mm groß) im Halsbereich des vorherigen Aneurysmas nachgewiesen. Eine erneute supraselektive Katheterembolisation mit Mikrospiralen wurde jedoch wegen angiographisch nachgewiesener Gefäßspasmen in der A. lienalis nicht durchgeführt. Weitere 8 Wochen später zeigte eine Kontrollangiographie eine Thrombose des vorher diagnostizierten Aneurysmas, bestätigte nur noch geringe Kontrastmittelanfärbung des ehemaligen Aneurysmahalses und zeigte keinerlei Anhaltspunkt für rheologische Abnormitäten der arteriellen Milzdurchblutung.Schlussfolgerungen: Die supraselektive Katheterembolisation mit Mikrospiralen als "First-line"-Therapie ist geeignet, um ein sakkuläres Milzarterienaneurysma zu behandeln.Schlüsselwörter: A. lienalis, Aneurysma, Embolisation, Spirale.Summary. Background: Embolization of visceral artery aneurysms has been increasingly accepted as a beneficial alternative to surgery.Methods: The aim of this case report was to evaluate the feasibility of the endovascular therapy of a saccular aneurysm of the splenic artery at its first bifurcation. We approached the aneurysm with a supraselective catheter embolization using coils.Results: After an interval of 4 weeks, we found a residual perfusion (0.3 by 0.6 mm) within the former neck in the control angiography. A repeat supraselective embolization was not favored because of catheter-induced vascular spasms of the splenic artery. A further 8 weeks later, control angiography revealed thrombosis of the previously diagnosed aneurysmatic sac, confirmed only minor residual flow through the thrombosed neck of the former aneurysm, and indicated sustained spleen blood supply as further revealed in later duplex ultrasonography follow-up.Conclusions: Selective coil embolization as first-line therapy to treat saccular splenic artery aneurysm is feasible.

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Visceral artery aneurysms: a single center experience

Cited by 93 publications

References 22 publications

True Aneurysm of the Pancreaticoduodenal Arteries: A Single Institution Experience

True Aneurysm of the Pancreaticoduodenal Arteries: A Single Institution Experience

Ruptured inferior mesenteric artery aneurysm in a patient with neurofibromatosis type I and its management

Selective embolization of splenic artery aneurysm – case report

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