Endovascular Treatment of Giant Celiac Artery Aneurysm in Behcet’s Disease

Dwivedi, Arika; Wayne, Erik; Sangroula, Daisy; Sigdel, Abindra

doi:10.1177/1538574420975906

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…Historically, endovascular treatment of such lesions was avoided because it has been associated with poor outcomes in terms of patency, but the evolution of material and the use of stent grafts over uncovered stents may mitigate the risk of in-stent restenosis and occlusions that have been frequently reported previously [33].…”

Section: Saas In Vasculitismentioning

confidence: 99%

Endovascular Stent-Graft Repair of True and False Aneurysms of the Splenic Artery

Borghese,

Pisani,

Luparelli

et al. 2024

JCM

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Objective: In treatment of aneurysms (SAAs) and pseudoaneurysms (SAPs) of the splenic artery, endovascular coil embolization is the approach most commonly used as it is minimally invasive and safe. However, it carries a significant rate of primary failure (up to 30%) and might be complicated by splenic infarction. The use of stent grafts might represent a valuable alternative when specific anatomical criteria are respected. We report a comprehensive review on technical and clinical outcomes achieved in this setting. Methods: We performed a comprehensive review of the literature through the MedLine and Cochrane databases (from January 2000 to December 2023) on reported cases of stenting for SAAs and SAPs. Outcomes of interest were clinical and technical success and related complications. The durability of the procedure in the long-term was also investigated. Results: Eighteen papers were included in the analysis, totalling 41 patients (n = 20 male 48.8%, mean age 55.5, range 32–82 years; n = 31, 75.6% SAAs). Mean aneurysm diameter in non-ruptured cases was 35 mm (range 20–67 mm), and most lesions were detected at the proximal third of the splenic artery. Stent grafting was performed in an emergent setting in n = 10 (24.3%) cases, achieving immediate clinical and technical success rate in 90.2% (n = 37) of patients regardless of the type of stent-graft used. There were no procedure-related deaths, but one patient died in-hospital from septic shock and n = 2 (4.9%) patients experienced splenic infarction. At the last available follow-up, the complete exclusion of the aneurysm was confirmed in 87.8% of cases (n = 36/41), while no cases of aneurysm growing nor endoleak were reported. None of the patients required re-intervention during follow-up. Conclusions: When specific anatomical criteria are respected, endovascular repair of SAAs and SAAPs using stent grafts appears to be safe and effective, and seems to display a potential advantage in respect to simple coil embolization, preserving the patient from the risk of end-organ ischemia.

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Section: Saas In Vasculitismentioning

confidence: 99%

Endovascular Stent-Graft Repair of True and False Aneurysms of the Splenic Artery

Borghese,

Pisani,

Luparelli

et al. 2024

JCM

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Surgical repair of a symptomatic celiac artery aneurysm with resection and end-to-end anastomosis

Znaniecki¹,

Tarnawski²,

Żegleń³

et al. 2023

Journal of Vascular Surgery Cases, Innovations and Techniques

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Endovascular treatment of a large saccular aneurysm of the celiac artery: a case report and review of literature

Salimi

Mangouri

Baradaran

2021

Journal of Surgical Case Reports

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Celiac artery is a visceral abdominal vasculature whose aneurysms are very rare, accounting for less than 0.01% of all aneurysms. This condition can be treated by open aneurysmectomy or aneurysmorrhaphy and endovascular intervention. Due to the high mortality and morbidity associated with open surgery, endovascular intervention may be a better treatment option. Here, we present a case related to a 40-year-old man who had been experiencing vague epigastric pain for 4 months prior to admission and was managed endovascularly.

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Endovascular Treatment of Giant Celiac Artery Aneurysm in Behcet’s Disease

Cited by 3 publications

References 15 publications

Endovascular Stent-Graft Repair of True and False Aneurysms of the Splenic Artery

Endovascular Stent-Graft Repair of True and False Aneurysms of the Splenic Artery

Surgical repair of a symptomatic celiac artery aneurysm with resection and end-to-end anastomosis

Endovascular treatment of a large saccular aneurysm of the celiac artery: a case report and review of literature

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