scholarly journals Endovascular Treatment of Giant Splenic Artery Aneurysm

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Adenauer Marinho de Oliveira Góes Junior ◽  
Amanda Silva de Oliveira Góes ◽  
Paloma Cals de Albuquerque ◽  
Renato Menezes Palácios ◽  
Simone de Campos Vieira Abib
Keyword(s):  
Endovascular Treatment ◽  
Stent Graft ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
Giant Aneurysm ◽  
Visceral Artery ◽  
Aggressive Approach ◽  
Visceral Artery Aneurysms ◽  
Stent Graft Implantation ◽  
Graft Implantation

Introduction. Visceral artery aneurysms are uncommon. Among them, splenic artery is the most common (46–60%). Most splenic artery aneurysms are asymptomatic and diagnosed incidentally, but its rupture, potentially fatal, occurs in up to 8% of cases.Presentation of Case. A female patient, 64 years old, diagnosed with a giant aneurysm of the splenic artery (approximately 6.5 cm in diameter) was successfully submitted to endovascular treatment by stent graft implantation.Discussion. Symptomatic aneurysms and those larger than 2 cm represent some of the main indications for intervention. The treatment may be by laparotomy, laparoscopy, or endovascular techniques. Among the various endovascular methods discussed in this paper, there is stent graft implantation, a method still few reported in the literature.Conclusion. Although some authors still consider the endovascular approach as an exception to the treatment of SAA, in major specialized centers these techniques have been consolidated as the preferred choice, reserving the surgical approach in cases where this cannot be used. For being a less aggressive approach, it offers an opportunity of treatment to patients considered “high risk” for surgical treatment by laparotomy/laparoscopy.

scholarly journals Emergency stent graft implantation for ruptured visceral artery pseudoaneurysm

2011 ◽  
Vol 53 (6) ◽  
pp. 1625-1631 ◽  
Author(s):  
Mourad Boufi ◽  
Hicham Belmir ◽  
Olivier Hartung ◽  
Olivier Ramis ◽  
Laura Beyer ◽  
...  
Keyword(s):  
Stent Graft ◽  
Visceral Artery ◽  
Artery Pseudoaneurysm ◽  
Stent Graft Implantation ◽  
Graft Implantation

Endovascular treatment of swing-segment stenosis in vascular access: current status and future directions

2017 ◽  
Vol 18 (1_suppl) ◽  
pp. S74-S76 ◽  
Author(s):  
Rick de Graaf
Keyword(s):  
Endovascular Treatment ◽  
Stent Graft ◽  
Vascular Access ◽  
Early Recurrence ◽  
Transluminal Angioplasty ◽  
Current Status ◽  
Access Site ◽  
Optimal Sequence ◽  
Stent Graft Implantation ◽  
Graft Implantation

Swing-segment lesions are a fairly common reason for access failure and predispose to repeated interventions. The pathophysiology, hemodynamic circumstances and the primary intervention might all play a role in early recurrence. Mainly, percutaneous transluminal angioplasty (PTA), bare metal stenting and stent graft implantation have been performed to prolong lesion patency and access circuit patency. The available data on endovascular treatment of swing-segment lesions are scarce, heterogeneous and of poor quality. Moreover, with the continuous evolution of endovascular techniques and introduction of new devices there is a risk of increasing device-specific investigations. In the meantime, PTA is easily discarded in favor of novel stents and stent grafts. However, PTA might still have an important position in the overall treatment strategy to postpone loss of the vascular access site. However, without optimal post-interventional imaging, true PTA results remain obscure and indications for additional stent (graft) implantation unclear. Currently, it seems that different devices are utilized to prolong lesion patency rather than access circuit patency. Obviously, more randomized controlled trials and well-structured multicenter registries may be capable of determining a superior treatment modality for a specific lesion. However, it might be more accurate to identify the optimal sequence of interventions by which the lifespan of the access site is maintained as long as possible.

Endovascular Treatment of Visceral Artery Aneurysms

2002 ◽  
Vol 9 (1) ◽  
pp. 38-47 ◽  
Author(s):  
Andreas Gabelmann ◽  
Johannes Görich ◽  
Elmar M. Merkle
Keyword(s):  
Endovascular Treatment ◽  
Necrotizing Pancreatitis ◽  
Artery Aneurysm ◽  
Endovascular Embolization ◽  
Visceral Artery ◽  
Recurrent Bleeding ◽  
Visceral Artery Aneurysms ◽  
Long Term Follow Up ◽  
Transcatheter Coil Embolization

Purpose: To review a 10-year experience with endovascular embolization of visceral artery aneurysms. Methods: Twenty-five patients (13 men; mean age 52.1 years, range 31–80) presented with VAAs of varying locations and etiologies: 10 splenic, 3 gastroduodenal, 2 pancreaticoduodenal, 3 hepatic, 3 superior mesenteric, 2 celiac, 1 left gastric, and 1 jejunoileal. Ten patients were asymptomatic; 7 aneurysms were ruptured. Transcatheter coil embolization was the treatment of choice in all patients. Results: Coil placement was initially (<7 days) successful in 23 (92%) patients. One superior mesenteric artery aneurysm remained perfused, and recurrent bleeding occurred 2 days after intervention in 1 case, but repeated embolization excluded the aneurysm. One patient with necrotizing pancreatitis died from sepsis 10 days after endovascular treatment and surgery (4% 30-day mortality). Long-term follow-up revealed excellent results after an average 48.7 months (range 14–75) with only 1 recurrence after 12 months. Conclusions: Embolotherapy is the treatment of choice in visceral artery aneurysms, regardless of etiology, location, or clinical presentation.

Endoluminal Stent-Graft Repair of a Renal Artery Aneurysm

2002 ◽  
Vol 9 (3) ◽  
pp. 359-362 ◽  
Author(s):  
Michael Bruce ◽  
Yew-Ming Kuan
Keyword(s):  
Renal Artery ◽  
Stent Graft ◽  
Artery Aneurysm ◽  
Visceral Artery ◽  
Left Renal Artery ◽  
Renal Artery Aneurysm ◽  
Stent Grafts ◽  
Invasive Approach ◽  
Visceral Artery Aneurysms ◽  
Stent Graft Repair

Purpose: To present a renal artery aneurysm that was treated successfully by endoluminal grafting. Case Report: A 48-year-old woman presented with a 2.5-cm saccular left renal artery aneurysm. A Jostent coronary stent-graft was placed transluminally into the left renal artery via a femoral artery cutdown. After 12 months, renal function remained normal, and computed tomography revealed normal kidney perfusion with complete resolution of the renal artery aneurysm. Conclusions: The advances in endovascular stent-grafts will allow more visceral artery aneurysms to be treated with a minimally invasive approach.

scholarly journals Splenic artery aneurysm

2016 ◽  
Vol 43 (5) ◽  
pp. 398-400 ◽  
Author(s):  
RUI ANTÔNIO FERREIRA, TCBC-RJ ◽  
MYRIAM CHRISTINA LOPES FERREIRA ◽  
DANIEL ANTÔNIO LOPES FERREIRA ◽  
ANDRÉ GUSTAVO LOPES FERREIRA ◽  
FLÁVIA OLIVEIRA RAMOS
Keyword(s):  
Portal Hypertension ◽  
Splenic Artery ◽  
Artery Aneurysm ◽  
Female Gender ◽  
Splenic Artery Aneurysm ◽  
Visceral Artery ◽  
Childbearing Age ◽  
Artery Ligation ◽  
Visceral Artery Aneurysms ◽  
Multiparous Women

ABSTRACT Splenic artery aneurysms - the most common visceral artery aneurysms - are found most often in multiparous women and in patients with portal hypertension. Indications for treatment of splenic artery aneurysm or pseudoaneurysm include specific symptoms, female gender and childbearing age, presence of portal hypertension, planned liver transplantation, a pseudoaneurysm of any size, and an aneurysm with a diameter of more than 2.5cm. Historically, the treatment of splenic artery aneurysm has been surgical ligation of the splenic artery, ligation of the aneurysm, or aneurysmectomy with or without splenectomy, depending on the aneurysm location. There are other percutaneous interventional techniques. The authors present a case of a splenic artery aneurysm in a 51-year-old woman, detected incidentally.

scholarly journals Stent Graft-in-Stent Graft as a Rescue Technique for Endovascular Treatment of Giant Extracranial Internal Carotid Aneurysm

2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Adenauer Marinho de Oliveira Góes Junior ◽  
Salim Abdon Haber Jeha
Keyword(s):  
Endovascular Treatment ◽  
Stent Graft ◽  
Internal Carotid ◽  
Clinical Complications ◽  
Rescue Technique ◽  
Complete Exclusion ◽  
Flow Leak ◽  
Stent Graft Implantation ◽  
Graft Implantation

Endovascular treatment of a giant extracranial internal carotid aneurysm by a stent graft implantation was unsuccessful due to a high flow leak directly through the stent graft’s coating. The problem was solved deploying a second stent graft inside the previously implanted one resulting in complete exclusion of the aneurysmal sac and patent carotid lumen preservation. The review of the literature did not provide a case using this endovascular strategy. Follow-up for more than 12 months, using CT angiography, showed confirmed aneurysmal exclusion and carotid patency and no clinical complications have been detected.

scholarly journals Splenic artery aneurysm, case series of seven patients

2021 ◽  
Vol 2021 (3) ◽  
Author(s):  
Javad Salimi ◽  
Zahra Omrani ◽  
Roozbeh Cheraghali
Keyword(s):  
Splenic Artery ◽  
Endovascular Procedures ◽  
Case Series ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Visceral Artery ◽  
Endovascular Techniques ◽  
Hybrid Surgery ◽  
First Choice ◽  
Visceral Artery Aneurysms

Abstract Splenic artery aneurysms (SAA) account for 46–60% of all visceral artery aneurysms. Small SAAs are usually asymptomatic, but giant aneurysms are more likely to cause symptoms and can result in life-threatening complications. Treatment of a splenic artery aneurysms includes laparotomy, laparoscopy or endovascular techniques. Case presentation: In this article, seven interesting cases of splenic artery aneurysms in different size and parts of artery and various interventions (open, endovascular and hybrid surgery) are discussed. Six of the patients were male. Five of them had giant SAAs (≥5 cm). Two patients underwent hybrid surgery. Coil embolization was carried out for one patient. All seven patients discharged with no procedure-related complications. Endovascular procedures considered as a first choice of treatment for splenic artery aneurysm. Open surgery is reserved mostly for the treatment of complications or if the endovascular techniques fail, lack of availability of endovascular procedures or allergy to contrast medium.

scholarly journals Giant splenic artery aneurysm treated surgically with spleen and pancreas preservation

2021 ◽  
Vol 41 (4) ◽  
pp. 253-256
Author(s):  
Igor Atanasijevic ◽  
Srdjan Babic ◽  
Slobodan Tanaskovic ◽  
Predrag Gajin ◽  
Nenad Ilijevski
Keyword(s):  
Splenic Artery ◽  
Artery Aneurysm ◽  
Splenic Artery Aneurysm ◽  
Visceral Artery ◽  
Rare Clinical Entity ◽  
Hemodynamic Changes ◽  
Visceral Artery Aneurysms ◽  
Pancreas Preservation ◽  
Aneurysm Development ◽  
Changes In Pregnancy

Aneurysms of the splenic artery represent a rare clinical entity, even though they account for 60-70% of all visceral artery aneurysms. Splenic artery aneurysms larger than 5 cm are extremely rare, and they are considered to be giant. Possible causes of splenic artery aneurysm development include: trauma, hormonal and local hemodynamic changes in pregnancy, portal hypertension, arterial degeneration, infection and postsplenectomy occurrence. Surgical treatment of giant splenic artery aneurysms includes procedures that frequently require pancreatectomy and splenectomy. We present a case of a 10.2 cm giant splenic artery aneurysm, firmly adhered to the pancreas, which was treated surgically, with spleen and pancreas preservation. SIMILAR CASES PUBLISHED: Although many cases on treatment of giant splenic artery aneurysm have been published, the majority have described additional visceral resections associated with aneurysmectomy, which is in contrast with our report. Furthermore, aneurysms reaching 10 cm in size were extremely rare.

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