Celiac artery aneurysm associated with atherosclerotic common hepatic artery stenosis

Papadimitriou, Dimitri; Pitoulias, Georgios A.; Tachtsi, Maria D.; Aslanidou, E.A.; Lazaridis, C.; Alexandrakis, Athanasios

doi:10.1024/0301-1526.34.2.136

Cited by 8 publications

(2 citation statements)

References 10 publications

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“…9,10 The mortality rate associated with aneurysm rupture has been reported to be 13%–40%. 11 In the current study, asymptomatic aneurysms accounted for over half of the CAAs diagnosed. Due to the use of endovascular approaches, we did not obtain pathological evidence of CAAs.…”

Section: Discussionmentioning

confidence: 66%

A new classification and strategies for endovascular treatment of celiac artery aneurysms

Wan

Zhou

et al. 2021

Vascular

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Background Endovascular treatment is being increasingly used for celiac artery aneurysms (CAAs), but systematic endovascular treatment strategies have not been defined yet. This study intended to investigate the strategies of endovascular management of CAAs according to a single-center experience. Methods Anatomically, CAAs were classified into two types: Type I CAAs located in the main trunk of celiac artery. Type II CAAs located on the branches of the celiac artery. Type I and Type II CAAs can be further divided into two different subtypes according to fusiform (a) or saccular or (b) morphology: type Ia, type Ib, type IIa, and type IIb. Patient demographics, clinical manifestations, aneurysm characteristics, endovascular intervention procedures, and perioperative and follow-up outcomes were reviewed and analyzed. Results Between August 2012 and August 2020, 18 consecutive patients (12 men; mean age, 56.8 ± 14.5 years) with CAAs were identified and treated with endovascular procedures. There were seven patients with type Ia, three patients with type Ib, four patients with type IIa, and four patients with type IIb CAAs. One patient died of hemorrhagic shock due to a ruptured aneurysm. Technical success was achieved in 16 patients (88.9%). The mean follow-up period was 51.7 ± 19.4 months. No hepatic or intestinal ischemia or death developed perioperatively or during the follow-up period. No aneurysmal expansion was detected on CTA surveillance, except for one patient who was diagnosed with an endoleak during the follow-up and received reintervention. Conclusions The endovascular strategy based on the novel classification of CAAs was safe and effective, with a favorable mid-term clinical outcome.

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Section: Discussionmentioning

confidence: 66%

A new classification and strategies for endovascular treatment of celiac artery aneurysms

Wan

Zhou

et al. 2021

Vascular

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“…An aneurysm greater than 20 mm is worth to be treated, due to the risk of rupture: surgical treatment constitutes the traditional therapy, but it is related to a significant postoperative morbidity and mortality. As a consequence, endovascular repair has been progressively replacing surgery [3], [5], [8], [11]. This has been performed by employing embolization techniques, mainly using coils, N-BCA (Glue), or a combination of them, but this kind of approach is often complicated by difficult endovascular access to the aneurysm and a significant percentage of limited longevity of this kind of repair due to revascularization of the aneurysm.…”

Section: Introductionmentioning

confidence: 99%

Successful endovascular treatment of a recurrent giant celiac artery aneurysm

Borzelli

Amodio

Paladini

et al. 2019

Radiology Case Reports

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Visceral artery aneurysms are very rare and aneurysms of the celiac trunk are the rarest ones: they are in most cases asymptomatic and their detection is frequently incidental. In this article we report the case of a man affected by severe abdominal pain with a huge aneurysm of the celiac trunk, first successfully treated with coil embolization, but, after 10 months, another endovascular embolization was required for deployment of the metallic coils previously released, ahead into the fund of the sac with recanalization of the aneurysm. A second endovascular treatment was performed with other coils and Amplatzer-Plug. The high risk of rupture makes treatment of such aneurysms mandatory and surgery is still considered the gold standard therapy of VAA, but, due to its high morbidity and mortality risks, in the last years, it has been widely replaced by endovascular embolization. An effective endovascular embolization requires not only the complete filling of the aneurysmal sac, but also the complete vascular exclusion of its in-flow and out-flow tracts, to reduce the risk of its anterograde or retrograde reperfusion.

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Bile Duct Compression and Stenosis Due to Anomalies and Acquired Disorders of the Splanchnic Arterial Tree and the Portal Venous System

Zimmermann¹

2016

Tumors and Tumor-Like Lesions of the Hepatobiliary Tract

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Celiac artery aneurysm associated with atherosclerotic common hepatic artery stenosis

Cited by 8 publications

References 10 publications

A new classification and strategies for endovascular treatment of celiac artery aneurysms

A new classification and strategies for endovascular treatment of celiac artery aneurysms

Successful endovascular treatment of a recurrent giant celiac artery aneurysm

Bile Duct Compression and Stenosis Due to Anomalies and Acquired Disorders of the Splanchnic Arterial Tree and the Portal Venous System

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