Endovascular and Surgical Management of Intact Splenic Artery Aneurysm

Abstract

This study aims to reveal the experience with endovascular and surgical management of intact splenic artery aneurysms in our single center. MethodBetween January 2011 and June 2017, 42 patients with intact splenic artery aneurysm were enrolled in this study. Twenty patients undergoing surgical intervention were classified as the surgical group, and twenty-two patients who received endovascular repair were categorized as the endovascular group. Demographic data, preoperative comorbidities, and aneurysm anatomical characteristics were collected and analyzed. Details of interventions, perioperative outcomes, and follow-up resultswere evaluated and compared between the two groups. ResultsForty-two patients with a mean age of 53.4±11.6 years were enrolled in this study, and 44 aneurysms were repaired. Thirty-nine (92.9%) patients were asymptomatic, and three (7.1%) patients were symptomatic. The diameter of splenic artery aneurysms was 3.3±1.6 cm, and the shape was mostly saccular. In the surgical group, the common methods used were splenic artery aneurysm resection (nine patients), followed by splenic artery aneurysms resection and splenectomy (six patients), splenic artery aneurysm resection and arterial reconstruction with end-to-end ACCEPTED MANUSCRIPT invasive accompanied with an obvious decrease in surgery time and rapid recovery with a short hospital time.

Multiple Splenic Artery Aneurysms: A Case Report and Review of the Literature

“…In recent years, endovascular therapy has been favored for being minimally invasive, offering rapid postoperative recovery, and providing a high comfort level to patients. Several endovascular treatment methods for SAA, mainly include coil embolization, placement of covered stents, plug deployment, gluing, and injection of endoluminal thrombin, polyvinyl alcohol, particles, or gel foam ( 1 , 2 , 32 , 33 ). Endovascular therapy is preferred in cases involving surgical technical difficulty and in patients with high risk of open operative.…”

Giant splenic artery aneurysm treated surgically with spleen and pancreas preservation

“…The most commonly used technique is embolic occlusion. 17 Likewise, endovascular stent graft exclusion of SAAs, which preserve blood flow through the artery, has been reported with a higher success rate. 18 However, giant SAAs are a great challenge for endovascular treatment, because of their complex anatomy and size, which may limit the efficacy of procedures.…”

Laparoscopic splenectomy in the treatment of splenic artery aneurysm - case report and literature review

“…Open or laparoscopic splenectomy is the treatment choice for aneurysms located in the splenic hilum or immediately next to the hilum. Another option is endovascular management with stent placement or arterial embolization [6,7,14,15]. The aim of surgical treatment should be the treatment of aneurysm with the splenic preservation or the preservation of a sufficient part of the organ (not less than 25% of the volume), enough to perform the immune function.…”