Celiac artery aneurysm: Diagnosis by color Doppler sonography and three-dimensional CT angiography

Soudack, Michal; Gaitini, Diana; Ofer, Amos

doi:10.1002/(sici)1097-0096(199901)27:1<49::aid-jcu9>3.0.co;2-z

Cited by 12 publications

(8 citation statements)

References 5 publications

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“…Its main disadvantages are its operator dependency and its occasional unsuitability for imaging extremely obese patients. Color Doppler patterns of abdominal aneurysms include high velocity central jets, bidirectional or swirling flow, very low flow adjacent to the aneurysm wall, and a mosaic color pattern [4]. Helical CT is also useful in imaging abdominal vascular structures and has a number of advantages.…”

Section: Discussionmentioning

confidence: 99%

“…Because of these potentially devastating consequences, appropriate and timely diagnosis and management of SMA aneurysms is essential to achieve satisfactory clinical outcomes [3]. Recently, the chances of detecting SMA aneurysm have been increasing with the advances in diagnostic instruments, such as abdominal ultrasonogram, CT scan, CT angiogram and three-dimensional (3-D) MD CT [4,5]. In our case, a huge SMA aneurysm was incidentally detected by ultrasound and subsequent 3-D MD CT provided a precise anatomic detail of SMA aneurysm and guided optimal surgical plan for this particular patient.…”

Section: Introductionmentioning

confidence: 99%

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Role of three-dimensional multidetector computed tomography for a huge superior mesenteric artery aneurysm management

Choi

Rha

Suh

et al. 2008

International Journal of Cardiology

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Role of three-dimensional multidetector computed tomography for a huge superior mesenteric artery aneurysm management

Choi

Rha

Suh

et al. 2008

International Journal of Cardiology

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“…Although the risk of aneurysm rupture is low (15%-20%), 16 the mortality rate of ruptured aneurysm is 80% to 100% in contrast to 5% to 10% for nonruptured aneurysms. 16,17 Arteriography is still considered the gold standard, 18 but sonography and computed tomography (CT) are the basic tools in the diagnostic workup of VAAs. Arteriography may be required for the preoperative exact localization of the aneurysm and for the evaluation of other arteries.…”

Section: Discussionmentioning

confidence: 99%

“…Sonography is being used more in the early evaluation of VAA/VAD as it is a safe, noninvasive, and quick imaging modality, and the literature review suggests that more cases are being diagnosed by sonography. 18 Once the diagnosis of CAA/CAD is confirmed by angiography, the treatment choices include elective open operative repair, percutaneous embolization, and endovascular stent graft placement. 22…”

Section: Discussionmentioning

confidence: 99%

The Value of Sonography in the Diagnosis of a Dissecting Aneurysm of the Celiac Artery

Shaikh

Steinmetz

Goldberg

2007

Journal of Diagnostic Medical Sonography

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Visceral artery aneurysms and dissections are uncommon but clinically important entities. The celiac artery is involved in only 4% of all visceral artery aneurysm (VAA) cases. Awareness of this pathology is important because of its unpredictable natural history and life-threatening complications.In this report, we describe an interesting case of a celiac artery aneurysm with dissection secondary to rheumatoid vasculitis and present a review of the literature on celiac artery disease. Although computed tomography angiography (CTA) and magnetic resonance angiography (MRA) were done to confirm the diagnosis of the disease, sonography, in this case, provided the best visualization of the pathology with no additional information from the

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“…2 Once the diagnosis of CAA is suspected, more thorough evaluation can be made with abdominal color Doppler ultrasonography and/or 3-dimensional abdominal CT angiography. 7,16 Complete preoperative visceral artery arteriography is required to define the precise location of the lesion as well as to evaluate the distal anatomy.…”

Section: Discussionmentioning

confidence: 99%

Treatment of a Celiac Artery Aneurysm with Endovascular Stent Grafting

Atkins¹,

Ryan

Gray

2003

Vasc Endovascular Surg

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As a result of more sophisticated and more commonly performed investigative procedures, aneurysms of the visceral abdominal vasculature, including celiac artery aneurysms, are increasingly recognized. Traditional therapy for visceral artery aneurysms has been limited to open aneurysmectomy or aneurysmorrhaphy to prevent catastrophic aneurysmal rupture. However, these procedures are associated with significant postoperative morbidity and mortality despite technical successes. High complication rates are likely related to poor preoperative conditions among the patient population typically presenting with these visceral artery aneurysms. This report introduces an alternative therapy for visceral artery aneurysms and highlights the potential for catheter-based interventions. This case report depicts a 61-year-old morbidly obese woman diagnosed with a 10-centimeter celiac artery aneurysm during investigation of upper abdominal pain. Given the patient's poor medical condition, punctuated by hemodynamic instability, open operation was avoided, and percutaneous embolization was not feasible owing to a large aneurysm neck. Therefore, inflow to the celiac artery aneurysm was excluded by placing a modular stent graft component within the abdominal aorta at the celiac artery orifice. During the intervening 12 months since stent graft deployment, the aneurysm sac diameter has steadily decreased, as determined by serial computed tomography scans. This report underscores the potential for catheter-based techniques to offer new therapeutic options for patients with visceral artery aneurysms. Careful individualization is required given the highly variable size, location, and character of such lesions.

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Celiac artery aneurysm: Diagnosis by color Doppler sonography and three-dimensional CT angiography

Cited by 12 publications

References 5 publications

Role of three-dimensional multidetector computed tomography for a huge superior mesenteric artery aneurysm management

Role of three-dimensional multidetector computed tomography for a huge superior mesenteric artery aneurysm management

The Value of Sonography in the Diagnosis of a Dissecting Aneurysm of the Celiac Artery

Treatment of a Celiac Artery Aneurysm with Endovascular Stent Grafting

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