Selecting the most appropriate surgical treatment of true splenic artery aneurysm

Шабунин, А. В.; Бедин, В. В.; Тавобилов, М. М.; Карпов, А. А.; Tsurkan, V. A.; Alieva, F F; Pilyus, Fedor G

doi:10.17116/hirurgia202210121

Cited by 2 publications

(2 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…8 Laparoscopic clipping of splenic artery aneurysm branches is feasible regardless of the aneurysm's location. 9 Laparoscopic splenectomy is recommended for multiple splenic artery aneurysms or when the aneurysm is densely fused with the pancreatic tail in the gate region. Laparoscopic resection of a splenic artery aneurysm serves as an alternative to open interventions.…”

Section: Discussionmentioning

confidence: 99%

Giant splenic artery aneurysm: case report

Shabunin,

Bedin,

Tavobilov

et al. 2023

J. vasc. bras.

View full text Add to dashboard Cite

True splenic artery aneurysms are exceedingly rare and the medical literature contains only a limited number of reports on this pathology. Presently, there remains a lack of consensus regarding the optimal management and treatment approaches for patients in this category. Over the course of the last century, significant changes have occurred in the realm of surgical options, transitioning from open and endovascular procedures to the more advanced laparoscopic and robotic interventions. The propensity for these aneurysms to rupture underscores the need for timely intervention. The risk of rupture is notably elevated in patients harboring giant splenic artery aneurysms. In this report, we present the case of a 55-year-old woman diagnosed with a giant splenic artery aneurysm measuring 12x12 cm in diameter. She presented with notable weakness, discomfort, and pain in the left subcostal area. In response to her complaints and after thorough evaluation, we opted for a surgical procedure encompassing distal pancreatic resection in conjunction with splenectomy and resection of the giant splenic artery aneurysm.

show abstract

Section: Discussionmentioning

confidence: 99%

Giant splenic artery aneurysm: case report

Shabunin,

Bedin,

Tavobilov

et al. 2023

J. vasc. bras.

View full text Add to dashboard Cite

show abstract

“…laparoscopic approach [4,[12][13][14]. In all series reported, the open surgical approach is efficient but requires more invasively, more hospital time and involves more morbidities overall especially in fragile patients [15][16][17]. Endovascular treatment is already considered the first-line approach in visceral and SAA presenting adequate anatomy due to a high technical success rate; reduced mortality; and reduced morbidity when compared to conventional open surgery [18,19].…”

Section: Stem Cell Res Int 2023mentioning

confidence: 99%

Untitled

2023

SCRI

View full text Add to dashboard Cite

Splenic artery aneurysm (SAA) management is various but endovascular solutions are preferred for a lower incidence of mortality and morbidity. The aim is to report SAA management using moderate packing of detachable coil embolization without routine splenectomy. From January 2015 to September 2022, we retrospectively analyzed patients presenting SAA and treated by moderate packing detachable coil embolization. SAA treatment indications were transverse diameter >2 cm, any size pseudoaneurysm, any size women in childbearing age and abdominal symptoms. The measured outcomes were technical success; mortality, morbidity, abdominal symptoms onset, and splenic infarction. Median follow-up was 34.77±9 months. Seven patients (median transverse diameter of 23±20 mm) were included. Technical success was achieved in all cases. No early mortality, abdominal pain onset or recurrence, reintervention, or splenic infarction was registered. Detachable coil moderate packing embolization is safe and effective for SAA management. The moderate coil packing maintained a limited splenic vascularization in the early period and avoided splenic infarction. During the follow-up, the coil embolization allowed SAA exclusion with no SAA growth. Larger patient samples with longer follow-up are required to validate this technique.

show abstract

Selecting the most appropriate surgical treatment of true splenic artery aneurysm

Cited by 2 publications

References 15 publications

Giant splenic artery aneurysm: case report

Giant splenic artery aneurysm: case report

Untitled

Contact Info

Product

Resources

About