Giant Splenic Artery Pseudoaneurysms: Two Case Reports and Cumulative Review of the Literature

Hamid, Hytham K. S.; Suliman, Abd Elaziz A.; Spiliοpoulos, Stavros; Żabicki, Bartosz; Tétreau, Raphaël; Piffaretti, Gabriele; Tozzi, Matteo

doi:10.1016/j.avsg.2019.10.061

Cited by 7 publications

(2 citation statements)

References 38 publications

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“…Either surgery or endovascular therapy as the most appropriate treatment for giant splanchnic aneurysms with associated mass effects remains undetermined 2 , 27 – 30 . Some authors preferred open surgery because postembolized thrombosis may not resolve soon 27 .…”

Section: Discussionmentioning

confidence: 99%

Salvage surgeries for splanchnic artery aneurysms after failed endovascular therapy – case series

Lin

Liao

Lin

et al. 2023

International Journal of Surgery

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Introduction: Splanchnic arterial aneurysms are a rare but potentially lethal disease with a mortality rate of more than 10% after rupture. Endovascular therapy is the first-line treatment for splanchnic aneurysms. However, appropriate management for splanchnic aneurysms after failed endovascular therapy remained inconclusive. Materials and methods: A retrospective review was performed for consecutive patients (from 2019 to 2022) who underwent salvage surgeries for splanchnic artery aneurysms following failed endovascular therapy. The authors defined failed endovascular therapy as the technical infeasibility to apply endovascular therapy, the incomplete exclusion of the aneurysm, or the incomplete resolution of preoperative aneurysm-associated complications. Salvage operations included aneurysmectomy with vascular reconstruction and partial aneurysmectomy with directly closing of bleeders from the intraluminal space of the aneurysms. Results: Seventy-three patients received endovascular therapies for splanchnic aneurysms, and 13 failed endovascular trials. The authors performed salvage surgeries for five patients and enrolled them in this study, including four false aneurysms of the celiac or superior mesenteric arteries and a true aneurysm of the common hepatic artery. The causes of failed endovascular therapy included coil migration, insufficient space for safely deploying the covered stent, a persistent mass effect from the postembolized aneurysm, or infeasibility for catheter cannulation. The mean hospital stay was nine days (mean±SD, 8.8±1.6 days), with no one suffering 90-day surgical morbidity and mortality, and all patients getting symptoms improvement. During the follow-up period (mean±SD, 24±10 months), one patient suffered a small residual asymptomatic celiac artery aneurysm (8 mm in diameter) and was treated conservatively due to underlying liver cirrhosis. Conclusion: Surgical management is a feasible, effective, and safe alternative for splanchnic aneurysms after failed endovascular therapy.

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Section: Discussionmentioning

confidence: 99%

Salvage surgeries for splanchnic artery aneurysms after failed endovascular therapy – case series

Lin

Liao

Lin

et al. 2023

International Journal of Surgery

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show abstract

“…The non-surgical options available currently include endovascular, endoscopic or CT-guided interventions. Endovascular interventions, mainly with coils embolization of the splenic artery, have emerged over the years as an excellent therapeutic option, for both non-giant and giant subtypes, with high success rates on clinical and radiological follow-up [ 18 - 20 ]. Krueger et al [ 21 ] described a successful management of giant splenic artery PSA by CT-guided direct thrombin injection into the PSA lumen.…”

Section: To the Editormentioning

confidence: 99%

Giant Pseudoaneurysm of the Splenic Artery: Size/Rupture Correlation

2023

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Splenic Artery Pseudoaneurysm in Chronic Pancreatitis Causing Obstructive Jaundice: Endovascular Management

Zhao

et al. 2021

Annals of Vascular Surgery

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Giant Splenic Artery Pseudoaneurysms: Two Case Reports and Cumulative Review of the Literature

Cited by 7 publications

References 38 publications

Salvage surgeries for splanchnic artery aneurysms after failed endovascular therapy – case series

Salvage surgeries for splanchnic artery aneurysms after failed endovascular therapy – case series

Giant Pseudoaneurysm of the Splenic Artery: Size/Rupture Correlation

Splenic Artery Pseudoaneurysm in Chronic Pancreatitis Causing Obstructive Jaundice: Endovascular Management

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