The contemporary management of splenic artery aneurysms

Lakin, Ryan O.; Bena, James; Sarac, Timur P.; Shah, Samir K.; Krajewski, Leonard P.; Srivastava, Sunita; Clair, Daniel G.; Kashyap, Vikram S.

doi:10.1016/j.jvs.2010.10.055

Cited by 114 publications

(142 citation statements)

References 15 publications

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“…The model was validated by comparing the ratio of reinterventions from this study with the ratio of reinventions of a previously published study (not used for input parameter values). 5 A slightly higher number of reinventions was observed in our model compared with previously published studies, but this is likely attributable to the longer follow-up period (45 years of follow-up) used.…”

Section: Resultscontrasting

confidence: 52%

“…Validation of this model was performed by comparing the ratio of reinventions of this study with a previously published study. 5 …”

Section: Methodsmentioning

confidence: 99%

“…2 Although most SAAs are asymptomatic, previous studies have shown that SAAs, and particularly those sized >2 cm, can rupture, resulting in potentially life-threatening complications. [3][4][5] To treat symptoms and prevent complications, SAA repair is often required.…”

mentioning

confidence: 99%

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Cost-effectiveness of endovascular repair, open repair, and conservative management of splenic artery aneurysms

Hogendoorn

Lavida

Hunink³

et al. 2015

Journal of Vascular Surgery

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EV is the most cost-effective treatment for most patient groups with SAAs, independent of the sex and risk profile of the patient. EV is superior to OPEN, being both cost-saving and more effective in all age groups. Elderly patients should be considered for CONS, based on the high costs in relation to the very small gain in health when treated with EV. The very elderly should be treated with CONS.

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Section: Resultscontrasting

confidence: 52%

“…Validation of this model was performed by comparing the ratio of reinventions of this study with a previously published study. 5 …”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Cost-effectiveness of endovascular repair, open repair, and conservative management of splenic artery aneurysms

Hogendoorn

Lavida

Hunink³

et al. 2015

Journal of Vascular Surgery

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show abstract

“…Splenic artery aneurysm is a rare condition resulting from excessive arterial dilation, which is caused mainly by atherosclerosis, cirrhotic portal hypertension, congenital abnormality of splenic artery, trauma or multiple pregnancies, etc [7][8][9][10] . The aneurysm mostly lies at the distal portion of splenic artery and near the splenic hilum and true aneurysm originating from the initial part of splenic artery is extremely rare [6] .…”

Section: Discussionmentioning

confidence: 99%

Aneurysm resection and vascular reconstruction for true aneurysm at the initial segment of splenic artery

Chun-xi

Han

Liang

et al. 2015

J. Huazhong Univ. Sci. Technol. [Med. Sci.]

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The aneurysms at the initial segment of splenic artery are rare. This paper aimed to investigate the methods to treat the true aneurysm at the initial segment of splenic artery by aneurysmectomy plus vascular reconstruction. Retrospectively reviewed were 11 cases of true aneurysm at the initial segment of splenic artery who were treated in our hospital from January 2000 to June 2013. All cases were diagnosed by color ultrasonography, computer tomography (CT) and angiography. Upon resection of the aneurysm, the auto-vein transplantation was performed in situ between the hepatic artery and the distal part of the splenic artery in 1 case; the artificial vessel bypass was done between the infra-renal aorta and distal portion of the splenic artery in 7 cases; the splenectomy was done in 2 cases; the splenectomy in combination with ligation of multiple small aneurysms were performed in 1 case. All cases were cured and discharged from the hospital 10-14 days after operation. A 1-14 year follow-up showed that 9 cases survived, and 2 cases died, including 1 case who died of acute myocardial infarction 2 years after aorta-splenic artery bypass operation and 1 case who died of acute cerebral hemorrhage 5 years after aneurysm resection and the splenectomy. Among 6 cases receiving aorta-splenic artery bypass, 1 gradually developed stenosis at anatomosed site, which eventually progressed to complete occlusion 2 years to 6 years after operation, without suffering from splenic infarction because the spleen was supplied by the short gastric vessel and its collaterals. The other 5 cases receiving aorta-splenic artery bypass and 1 case undergoing autologous vascular transplantation did not develop stricture or pseudoaneurysm at the stoma. Our study showed that the aneurysmectomy plus vascular reconstruction is a better treatment for aneurysm at the initial segment of splenic artery.

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“…The treatment of choice is surgical repair [1]. Endovascular access using stent-grafts or vascular coils is gaining increasingly more importance.…”

Section: Introductionmentioning

confidence: 99%

Percutaneous trans-needle coil application - an alternative access to false aneurysm of the splenic artery

Schellhammer

Meyer

Oette

2016

Vasa

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The contemporary management of splenic artery aneurysms

Abstract: Ruptured SAAs are lethal. Large SAAs can undergo endovascular ablation safely with durable SAA regression. Smaller SAAs (<2 cm) grow slowly and carry a negligible rupture risk.

Cited by 114 publications

References 15 publications

Cost-effectiveness of endovascular repair, open repair, and conservative management of splenic artery aneurysms

Cost-effectiveness of endovascular repair, open repair, and conservative management of splenic artery aneurysms

Aneurysm resection and vascular reconstruction for true aneurysm at the initial segment of splenic artery

Percutaneous trans-needle coil application - an alternative access to false aneurysm of the splenic artery

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