scholarly journals Current management strategies for visceral artery aneurysms: an overview

Surgery Today ◽  
2019 ◽  
Vol 50 (1) ◽  
pp. 38-49 ◽  
Author(s):  
Hideaki Obara ◽  
Matsubara Kentaro ◽  
Masanori Inoue ◽  
Yuko Kitagawa
Keyword(s):  
Mesenteric Artery ◽  
Management Strategies ◽  
Hybrid Approach ◽  
Celiac Artery ◽  
Visceral Artery ◽  
Anatomical Location ◽  
Current Management ◽  
Risk Of Rupture ◽  
Visceral Artery Aneurysms ◽  
History Of

Abstract 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.

scholarly journals Visceral Artery Aneurysms: Decision Making and Treatment Options in the New Era of Minimally Invasive and Endovascular Surgery

2019 ◽  
Vol 28 (01) ◽  
pp. 011-016 ◽  
Author(s):  
Jun Xu ◽  
Mel Sharafuddin ◽  
John Corson ◽  
Maen Hosn
Keyword(s):  
Mesenteric Artery ◽  
Incidental Finding ◽  
Treatment Options ◽  
Current Treatment ◽  
Celiac Artery ◽  
Visceral Artery ◽  
Management Guidelines ◽  
New Era ◽  
Visceral Artery Aneurysms ◽  
Arterial Aneurysms

AbstractThe abdominal viscera blood supply is derived from anterior branches of the abdominal aorta. Visceral artery aneurysms (VAAs) include aneurysms of the following arteries and their branches: the celiac artery, the hepatic artery, the splenic artery, the superior mesenteric artery, the inferior mesenteric artery, the pancreaticoduodenal artery, and the gastroduodenal artery. Overall VAAs comprise < 2% of all types of arterial aneurysms. Asymptomatic VAAs are now being encountered more frequently due to the widespread use of advanced diagnostic abdominal imaging. The incidental finding of a VAA frequently leaves clinicians with a dilemma as to the best course of management. The focus of this review is on current treatment options and management guidelines for both symptomatic and asymptomatic VAAs.

scholarly journals Correction to: Current management strategies for visceral artery aneurysms: an overview

Surgery Today ◽  
2020 ◽  
Vol 50 (3) ◽  
pp. 320-320
Author(s):  
Hideaki Obara ◽  
Matsubara Kentaro ◽  
Masanori Inoue ◽  
Yuko Kitagawa
Keyword(s):  
Management Strategies ◽  
Visceral Artery ◽  
Current Management ◽  
Visceral Artery Aneurysms

The article Current management strategies for visceral artery aneurysms

Endovascular Treatment of Multiple Visceral Artery Paradoxical Emboli with Mechanical and Pharmacological Thrombolysis

2000 ◽  
Vol 7 (2) ◽  
pp. 155-160 ◽  
Author(s):  
W. Charles Sternbergh ◽  
Stephen R. Ramee ◽  
Daniel A. DeVun ◽  
Samuel R. Money
Keyword(s):  
Endovascular Treatment ◽  
Mesenteric Artery ◽  
Left Kidney ◽  
Visceral Artery ◽  
Attractive Alternative ◽  
Paradoxical Emboli ◽  
History Of ◽  
Surgical Embolectomy ◽  
Urokinase Infusion

Purpose: To report a case of paradoxical emboli to multiple visceral vessels treated with both mechanical (AngioJet device) and pharmacological (urokinase) thrombolysis. Methods and Results: A 72-year-old man presented with a 48-hour history of symptomatic right renal ischemia, which was treated with heparinization. Five days later, an abrupt creatinine elevation prompted arteriography, which demonstrated thromboembolism of the superior mesenteric artery (SMA) and both renal arteries. The AngioJet aspiration device was employed to successfully remove the clot from the SMA; urokinase infusion restored flow to the left kidney. At the 16-month follow-up evaluation, the patient was normotensive without medication and had a stable creatinine (1.4 mg/dL). Conclusions: Because of its speed and minimal morbidity, the AngioJet device may be an attractive alternative to surgical embolectomy or pharmacological thrombolysis in highly selected cases of acute visceral artery thromboembolism.

scholarly journals Spontaneous dissection of coeliac and superior mesenteric artery: double whammy

2021 ◽  
Vol 14 (3) ◽  
pp. e240047
Author(s):  
Kanhai Lalani ◽  
Tom Devasia ◽  
Ganesh Paramasivam
Keyword(s):  
Abdominal Pain ◽  
Ct Scan ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Thrombus Formation ◽  
Hybrid Approach ◽  
Transluminal Angioplasty ◽  
Mesenteric Arteries ◽  
Visceral Artery ◽  
Bowel Rest

Isolated dissection of one of the mesenteric arteries without concurrent involvement of the aorta is a rare clinical entity and an unusual cause of abdominal pain. It usually involves one artery, most commonly the superior mesenteric artery (SMA) followed by the coeliac artery. We are reporting a rare case where both coeliac and SMA were showing dissection. We are reporting a case of 60-year-old hypertensive male who came with worsening abdominal pain for 5 days; CT scan showed coeliac and SMA dissection without any imaging evidence of intestinal ischaemia. He was successfully managed medically with bowel rest and anticoagulation. Two weeks of follow-up CT scan showed no progression or thrombus formation. For complicated cases, percutaneous transluminal angioplasty of a visceral artery or open surgical exploration or hybrid approach is required. However, for stable uncomplicated cases, medical therapy alone is sufficient.

scholarly journals An anomalous engenderment of a common scenario: upper gastrointestinal bleeding

2017 ◽  
Vol 6 (1) ◽  
pp. 362
Author(s):  
Tirth Nayan Vasa ◽  
Mukhayprana Prabhu ◽  
Rajagopal K. V. ◽  
Devavrata Sahu ◽  
Harnish Bhatia
Keyword(s):  
Gastrointestinal Bleeding ◽  
Upper Gastrointestinal Bleeding ◽  
Rapid Assessment ◽  
Visceral Artery ◽  
Oesophageal Varices ◽  
Early Management ◽  
Ulcer Disease ◽  
Risk Of Rupture ◽  
Visceral Artery Aneurysms ◽  
Upper Gastrointestinal

Upper gastrointestinal bleeding (UGIB) includes hemorrhage originating from the esophagus to the ligament of Treitz. It is a gastrointestinal emergency that can result in significant morbidity, mortality, along with laborious utilization of health-care resources. With the advent of definite management protocols, the recent trends have revealed that patients rarely die from exsanguination, with decompensation of the underlying disorders, rather, proving to be causative of the same. Rapid assessment, resuscitation, and early endoscopic investigation serve as the foundation of early management. Common sinister underlying aetiology include Oesophageal Varices, Peptic Ulcer Disease, NSAID Induced Acute Gastritis or Malignancy. Arising from a conglomeration of aetiologies, an infrequent one, is a silently sinister pseudoaneurym rupturing into the stomach, stemming from a visceral artery. Since the first description by Beaussier in 1770, the condition has been detected with increasing frequency, primarily as a consequence of the increasing use of accurate imaging methods. Coeliac artery aneurysms (CAAs) occur in approximately 0.2% of the overall population and constitute approximately 4% of all visceral artery aneurysms (VAAs). Their risk of rupture is estimated at 10% to 15% and is associated with high mortality. Associated risk factors include atherosclerosis, hypertension, systemic inflammation, trauma, collagen vascular disease, infection, fibromuscular dysplasia, and cirrhosis

Management strategies for true and dissecting visceral artery aneurysms

2020 ◽  
Vol 61 (3) ◽  
Author(s):  
Paula R. Keschenau ◽  
Nikitas Kaisaris ◽  
Houman Jalaie ◽  
Jochen Grommes ◽  
Drosos Kotelis ◽  
...  
Keyword(s):  
Management Strategies ◽  
Visceral Artery ◽  
Visceral Artery Aneurysms

Current management of visceral artery aneurysms

Surgery ◽  
1996 ◽  
Vol 120 (4) ◽  
pp. 627-634 ◽  
Author(s):  
Sandra C. Carr ◽  
William H. Pearce ◽  
Robert L. Vogelzang ◽  
Walter J. McCarthy ◽  
Albert A. Nemcek ◽  
...  
Keyword(s):  
Visceral Artery ◽  
Current Management ◽  
Visceral Artery Aneurysms
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