Endovascular Treatment of Visceral Arteries

Chronic mesenteric ischaemia constitutes a condition characterised by a decreased abdominal blood flow, which is caused by the obstruction of visceral arteries. This short communication paper presents a clinical case of endovascular treatment in a patient with the obstruction of the celiac trunk, superior and inferior mesenteric arteries. Intestinal blood supply was provided through collaterals from the system of internal iliac veins via the inferior mesenteric artery, the arc of Riolan. This clinical case confirmed that percutaneous transluminal angioplasty and stenting of the visceral arteries is the method of choice in the surgical treatment of abdominal angina.

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Endovascular Treatment of Visceral Arteries Pseudoaneurysms by Covered Stents

10.1055/s-0041-1730544 ◽

2019 ◽

Author(s):

Mohammad Elhemeily ◽

Charles Roux ◽

Marine Bravetti ◽

Wafik Turki ◽

Dan Toledano ◽

...

Keyword(s):

Endovascular Treatment ◽

Covered Stents ◽

Visceral Arteries

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Endovascular treatment of stenotic and occluded visceral arteries for chronic mesenteric ischemia

Journal of Vascular Surgery ◽

10.1016/j.jvs.2007.11.046 ◽

2008 ◽

Vol 47 (3) ◽

pp. 485-491.e2 ◽

Cited By ~ 105

Author(s):

Timur P. Sarac ◽

Ozcan Altinel ◽

Vikram Kashyap ◽

Jams Bena ◽

Sean Lyden ◽

...

Keyword(s):

Endovascular Treatment ◽

Mesenteric Ischemia ◽

Chronic Mesenteric Ischemia ◽

Visceral Arteries

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Combined Surgical and Endovascular Treatment of Pseudoaneurysms of the Visceral Arteries and of the Left Iliac Arteries after Thoracoabdominal Aortic Surgery

European Journal of Vascular and Endovascular Surgery ◽

10.1053/ejvs.2001.1433 ◽

2001 ◽

Vol 22 (3) ◽

pp. 275-277 ◽

Cited By ~ 12

Author(s):

T. Juvonen ◽

F. Biancari ◽

K. Ylönen ◽

J. Perälä ◽

J. Rimpiläinen ◽

...

Keyword(s):

Endovascular Treatment ◽

Aortic Surgery ◽

Iliac Arteries ◽

Visceral Arteries ◽

Thoracoabdominal Aortic Surgery

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Interdisciplinary Management of Visceral Artery Aneurysms and Visceral Artery Pseudoaneurysms

Acta Medica (Hradec Kralove Czech Republic) ◽

10.14712/18059694.2020.14 ◽

2020 ◽

Vol 63 (1) ◽

pp. 43-48 ◽

Cited By ~ 1

Author(s):

Peter Berek ◽

Ivan Kopolovets ◽

Csaba Dzsinich ◽

Juraj Bober ◽

Peter Štefanič ◽

...

Keyword(s):

Surgical Treatment ◽

Endovascular Treatment ◽

Artery Aneurysm ◽

Visceral Artery ◽

Interdisciplinary Management ◽

Artery Pseudoaneurysm ◽

Endovascular Interventions ◽

Visceral Artery Aneurysms ◽

Choice Of Treatment ◽

Visceral Arteries

The paper presents the results of treating 14 patients, namely eight patients with visceral artery aneurysms and six patients with visceral artery pseudoaneurysms. In 64.3% of the patients, the initial diagnosis was made based on the ultrasound examination. All the patients (100%) underwent CT angiography, while angiography was performed in 71.4% of the cases. Five (35.7%) patients with visceral artery pseudoaneurysms were emergently hospitalized; among them, the signs of bleeding were observed in 2 patients. In 9 patients, pathology was detected during tests for other conditions. Five (35.7%) patients underwent endovascular treatment, while 9 (64.3%) patients received surgical treatment. Endovascular interventions and open surgery demonstrated a nil mortality rate. After endovascular treatment, stent thrombosis was found in 1 patient. In the case of surgical treatment, visceral artery aneurysm was observed in 1 patient who underwent the resection of superior mesenteric artery pseudoaneurysm. Conclusions. The choice of the method of treating visceral artery aneurysms and visceral artery pseudoaneurysms depends on the location, size, anatomic features of the visceral arteries and the clinical course of the disease. Both endovascular and surgical treatment demonstrate good postoperative outcomes. Visceral ischemia is one of the most serious complications in the postoperative period, which can complicate both the diagnosis and the choice of treatment tactics.

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Visceral pseudoaneurysms and the role of endovascular treatment – a case report

International Journal of Family & Community Medicine ◽

10.15406/ijfcm.2021.05.00242 ◽

2021 ◽

Vol 5 (6) ◽

pp. 183-185

Author(s):

Adriana Figueiredo ◽

Nelson Camacho ◽

Maria Emília Ferreira

Keyword(s):

Endovascular Treatment ◽

Young Male ◽

Anatomical Location ◽

Vascular Surgeon ◽

Elective Treatment ◽

Visceral Arteries ◽

History Of ◽

Surgery Department ◽

Clinical Stability

Introduction: Visceral pseudoaneurysms are pathological dilations of the visceral arteries and/or their branches. They are a rare entity but with devastating consequences given their high potential for rupture and hemorrhage. The evolution of endovascular techniques has changed the paradigm in the treatment of this entity, making it the preferred option for the elective treatment of visceral pseudoaneurysms. Clinical case: The authors described the case of a pancreatic pseudoaneurysm in a young male patient, with past medical history of chronic pancreatitis and pancreatic pseudocyst, marked smoking and alcoholic habits, which presented with an abdominal pain and a drop in hemoglobin. After discussing the case with the Vascular Surgery department, it was decided towards an endovascular treatment given the patient's clinical stability and appropriate anatomical location for the proposed intervention. Coil embolization via humeral artery was performed with immediate angiographic success, and clinical, analytical and imaging improvement in the postoperative period. Conclusion: In addition to open surgical repair and laparoscopic surgery, there are also endovascular procedures for the treatment of visceral pseudoaneurysms, so the vascular surgeon must be aware with the available strategies, taking into account the patient, the characteristics and location of the visceral pseudoaneurysm.

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Endovascular treatment with Viabahn stent-grafts for arterial injury and bleeding at the visceral arteries: initial and midterm results

Japanese Journal of Radiology ◽

10.1007/s11604-021-01192-8 ◽

2021 ◽

Author(s):

Tatsuo Ueda ◽

Satoru Murata ◽

Hiroyuki Tajima ◽

Hidemasa Saito ◽

Daisuke Yasui ◽

...

Keyword(s):

Endovascular Treatment ◽

Clinical Success ◽

Arterial Injury ◽

Success Rates ◽

Neck Length ◽

Peripheral Organ ◽

Visceral Arteries ◽

Procedural Complications ◽

Related Mortality

Abstract Purpose The purpose of the study is to evaluate the initial and midterm efficacy and safety of endovascular treatment (EVT) using Viabahn stent-graft (SG) for arterial injury and bleeding (AIB) at the visceral arteries. Materials and methods Consecutive patients with visceral AIB who underwent EVT using Viabahn between January 2017 and February 2021 were retrospectively reviewed. Technical success, clinical success, peripheral organ ischemia, peri-procedural complications, bleeding-related mortality, 30-day mortality, neck length, re-bleeding, endoleaks, and patency of the SGs at 1, 3, 6, and 12 months were evaluated. Results EVT using Viabahn was performed in 14 patients (mean age: 68.6 years; 12 males) and 15 arteries. The technical and clinical success rates were 100%. The rates of peripheral organ ischemia, peri-procedural complications, bleeding-related mortality, and 30-day mortality were all 0%. The mean neck length was 9.9 mm. No endoleaks or re-bleeding occurred during the follow-up (mean: 732 days). The SG patency was confirmed after 1, 3, 6, and 12 months in 78.6%, 78.6%, 78.6%, and 56.1% of the patients, respectively. Conclusion EVT using Viabahn for AIB at the visceral arteries was safe and effective. SG occlusions without ischemia often occurred after 12 months.

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Combined Open and Endovascular Treatment of Complex Aortic Disease

Vascular ◽

10.1258/rsmvasc.12.2.93 ◽

2004 ◽

Vol 12 (2) ◽

pp. 93-98 ◽

Cited By ~ 2

Author(s):

Jan Lundbom ◽

Staal Hatlinghus ◽

Asbjørn Ødegård ◽

Trine Olberg Eide ◽

Conrad Lange ◽

...

Keyword(s):

Myocardial Infarction ◽

Retrospective Study ◽

Endovascular Treatment ◽

Open Surgery ◽

Aortic Disease ◽

The Other ◽

Aortic Lesion ◽

Stent Grafting ◽

Visceral Arteries

The purpose of this article is to report whether combined open and endovascular treatment could be applied in patients with complex aortic disease. A retrospective study including four patients with complex aortic disease was undertaken. In all patients, extra-anatomic bypass to the visceral arteries was made through a laparotomy while the aortic lesion was repaired by stent grafting. One patient died on the first postoperative day and another died 3 months after treatment from a myocardial infarction. The other two patients were alive 13 and 34 months after treatment, respectively. However, a patient treated for a ruptured thoracoabdominal type 2 aneurysm on the basis of a dissection suffers from postoperative paraplegia. The combination of open surgery with extra-anatomic bypass to visceral arteries and stent grafting could be an option for the treatment of patients with complex aortic disease, especially in high-risk cases in which more extensive open surgery is contraindicated.

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Current evidence and prospects for medical treatment of abdominal aortic aneurysms

VASA ◽

10.1024/0301-1526.34.4.217 ◽

2005 ◽

Vol 34 (4) ◽

pp. 217-223 ◽

Cited By ~ 11

Author(s):

Diehm ◽

Schmidli ◽

Dai-Do ◽

Baumgartner

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Medical Treatment ◽

Endovascular Treatment ◽

Abdominal Aortic Aneurysms ◽

Aortic Aneurysms ◽

Current Evidence ◽

Significant Morbidity ◽

Abdominal Aortic ◽

Risk Of Rupture

Abdominal aortic aneurysm (AAA) is a potentially fatal condition with risk of rupture increasing as maximum AAA diameter increases. It is agreed upon that open surgical or endovascular treatment is indicated if maximum AAA diameter exceeds 5 to 5.5cm. Continuing aneurysmal degeneration of aortoiliac arteries accounts for significant morbidity, especially in patients undergoing endovascular AAA repair. Purpose of this review is to give an overview of the current evidence of medical treatment of AAA and describe prospects of potential pharmacological approaches towards prevention of aneurysmal degeneration of small AAAs and to highlight possible adjunctive medical treatment approaches after open surgical or endovascular AAA therapy.

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