Treatment of an aneurysm of the coeliac axis by transluminal steel wire occlusion

Rengo, Marco; Terrinoni, V.; Lamazza, Antonietta; Cosimati, Antonella; Bianchi, Giuseppe

doi:10.1016/s1078-5884(97)80057-3

Cited by 15 publications

(9 citation statements)

References 7 publications

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“…Seldom do coils migrate back into the aorta or into neighboring, noninjured vessel areas such as the hepatic artery. 14 three cases. 15 In such an event the PTE must not be interrupted.…”

Section: Discussionmentioning

confidence: 93%

“…Thus, complications have occurred, such as infarctions of the spleen on a massive scale following PTE with Gelfoam,6 whereas this has occurred only segmentally following the use of coils,13 as in our case 2. Seldom do coils migrate back into the aorta or into neighboring, noninjured vessel areas such as the hepatic artery 14. The danger of a rupture of the pseudoaneurysm during the PTE cannot be absolutely ruled out.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Embolization treatment of bleeding complications in pancreatitis

Stösslein

Zimmermann

Bulang

1998

Journal of Hepato-Biliary-Pancreatic Surgery

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Pseudoaneurysm following chronic pancreatitis is a severe complication that can lead to massive gastrointestinal bleeding. Surgical treatment means high risk for the patient. We report on two patients in whom the bleeding was managed by percutaneous transvascular embolization, a relatively non-invasive and successful method with low risk. The goal was either the definitive arrest of bleeding or stabilization of the patient to enable a surgical procedure. Embolization coils are the material most utilized for vessel occlusion. In patients with bleeding complication following pancreatitis, if sonography or computed tomography demonstrates a pseudoaneurysm, we recommend angiographic visualization and immediate subsequent embolization.

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“…Seldom do coils migrate back into the aorta or into neighboring, noninjured vessel areas such as the hepatic artery. 14 three cases. 15 In such an event the PTE must not be interrupted.…”

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Embolization treatment of bleeding complications in pancreatitis

Stösslein

Zimmermann

Bulang

1998

Journal of Hepato-Biliary-Pancreatic Surgery

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“…Recently, with advancements in endovascular techniques, traditional surgical therapy is increasingly being replaced by endovascular aneurysm exclusion, such as stent graft implantation and embolization. 3 , 6 , 7 In contrast, to complete endovascular repair, technical difficulties are occasionally encountered in patients with unsuitable anatomic findings. In our patient, the endovascular procedure was not feasible because of an inadequate landing zone and its location; therefore, we performed conventional surgical repair consisting of revascularization of the aorta-common hepatic and splenic arteries with the use of an autologous saphenous vein graft.…”

Section: Discussionmentioning

confidence: 99%

Surgical repair of a celiac artery aneurysm using a sutureless proximal anastomosis device

Uchida

Hamasaki

Kuroda

et al. 2017

Journal of Vascular Surgery Cases, Innovations and Techniques

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Some celiac artery aneurysms are not suitable for endovascular therapy. We describe the case of a 63-year-old man with a celiac trunk aneurysm extending to the hepatosplenic bifurcation. The aneurysm was resected and oversewn at the origin from the abdominal aorta. A saphenous vein bypass from the supraceliac aorta to the celiac artery bifurcation was performed using a sutureless anastomotic device (PAS-Port system; Cardica, Redwood City, Calif) to create the proximal anastomosis, eliminating the need for aortic clamping. This system is thought to make direct proximal aortic anastomosis safe and easy in patients requiring surgical reconstruction of celiac artery aneurysms.

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“…Although the incidence of rupture was previously 70-85% (first half of the 20th century), advances in diagnosis and early surgical and endovascular intervention significantly reduced the rupture rate on today 7%. Timely diagnosis and proper treatment are crucial for survival, because the operative mortality of ruptured cases fell down from 40% to only 5% [43,45].…”

Section: Celiac Artery Aneurysmmentioning

confidence: 99%

“…First celiac trunk aneurysm resection was performed in 1958 by Shumacker. Celiac artery occlusion by coil embolization or stent graft implantation are promising way in reating these lesions [5,45,46].…”

Section: Celiac Artery Aneurysmmentioning

confidence: 99%