Visceral Artery Aneurysms

Chiesa, Roberto; Astore, D.; Guzzo, Giuseppe; Frigerio, Sillia; Tshomba, Yamume; Castellano, Renata; Moura, Marcelo R.L.; Melissano, Germano

doi:10.1007/s10016-004-0150-2

Cited by 157 publications

(142 citation statements)

References 32 publications

Supporting

Mentioning

121

Contrasting

Unclassified

Order By: Relevance

“…The intervention-based total morbidity rate of 10 % (8 % requiring treatment) for all interventions of the examined population showed good comparability with other studies (3 -8 %) [8,22,23]. The perioperative morbidity of conventional surgical therapy in terms of surgery-associated complications in a period of up to 30 days after the operation of 7 -13 % is also comparable [15,24,25]. The study by Hemp and Sabri showed that there is no significant difference between endovascular and surgical therapy regarding periprocedural morbidity and mortality but that there was a significant reduction in the length of the hospital stay after interventional therapy [10].…”

Section: Discussionsupporting

confidence: 64%

“…or only partial primary success of 12.5 % in this study are not significantly greater than the results of other studies with re-intervention rates of 3 -11 % [12 -14] and comparable results of surgical therapy with re-operation rates of 0 -12 % [13,15,16]. The mortality rate of the elective surgical therapy of visceral aneurysms is approximately 5 % [15,17]. Surgical therapy of actively bleeding aneurysms has a significantly higher mortality rate of 10 -25 % [18,19].…”

Section: Discussioncontrasting

confidence: 45%

“…It shows extended loss of arterial perfusion in the parenchyma distal to the coiled artery consistent with partial splenic infarction. or only partial primary success of 12.5 % in this study are not significantly greater than the results of other studies with re-intervention rates of 3 -11 % [12 -14] and comparable results of surgical therapy with re-operation rates of 0 -12 % [13,15,16]. The mortality rate of the elective surgical therapy of visceral aneurysms is approximately 5 % [15,17].…”

Section: Discussionsupporting

confidence: 41%

See 2 more Smart Citations

Visceral Artery Aneurysms and Pseudoaneurysms: Retrospective Analysis of Interventional Endovascular Therapy of 43 Aneurysms

Ruhnke¹,

Kröncke²

2017

Fortschr Röntgenstr

View full text Add to dashboard Cite

ABSTR AC TPurpose To evaluate the results of interventional endovascular therapy of incidental and symptomatic visceral artery aneurysms in the elective and emergency situation.Materials and Methods 43 aneurysms in 38 patients (19 female, 19 male, mean age: 57 ± 16 years [18 -82]) were treated between 2011 and 2015. The characteristics of the aneurysms (true vs. false aneurysm, size, etiology, location, symptoms) were considered. Furthermore, we evaluated the intervention with respect to technical success, embolic/occlusive agents used, therapy-associated complications and postinterventional follow-up.Results 23 true aneurysms (maximum diameter: 22 ± 18 mm [11 -67 mm]) and 20 false aneurysms (maximum diameter: 9 ± 33 mm [3 -150 mm]) were evaluated. The splenic (n = 14) and renal arteries (n = 18) were most frequently affected. The etiology was most commonly degenerative-atherosclerotic (47 %) or iatrogenic post-operative (19 %). 18/48 interventions were performed due to active bleeding. False aneurysms were associated significantly more often with active bleeding (63 vs. 25 %, p = 0.012). 41/48 treatments were technically successful. Re-intervention was necessary 6 times. In 2 cases the endovascular approach did not succeed. There was a complication rate of 10 %, whereby only 4 minor and 1 major complications occurred. No patient suffered from permanent sequelae. Aneurysms were primarily treated by using coils and if necessary additional embolic agents (liquid embolic agent or vascular plugs) (75 %). In the follow-up period, reperfusion of treated aneurysms occurred at a rate of 7 % (n = 3). ConclusionInterventional endovascular therapy of visceral artery aneurysms is safe and effective in the elective treatment of incidental aneurysms as well as in significantly more frequent hemorrhaging false aneurysms in the emergency situation. Key points▪ Interventional endovascular therapy of visceral artery aneurysms is safe and effective. ▪ In more than 60 % of cases visceral artery pseudoaneurysms are associated significantly more often with a history of bleeding or acute bleeding. Hence, there is a need for (interventional) therapy even in small pseudoaneurysms. ▪ Follow-up seems to be useful to detect reperfusion as manifestation of treatment failure. This document was downloaded for personal use only. Unauthorized distribution is strictly prohibited.tischen Aneurysmen der viszeralen Gefäße in der elektiven sowie der Notfallsituation. Material und Methoden

show abstract

Section: Discussionsupporting

confidence: 64%

Section: Discussioncontrasting

confidence: 45%

Section: Discussionsupporting

confidence: 41%

See 1 more Smart Citation

Visceral Artery Aneurysms and Pseudoaneurysms: Retrospective Analysis of Interventional Endovascular Therapy of 43 Aneurysms

Ruhnke¹,

Kröncke²

2017

Fortschr Röntgenstr

View full text Add to dashboard Cite

show abstract

“…Nevertheless, a high incidence of aneurysmatic sac reperfusion and a relatively high morbidity are associated with this procedure. 6 In cases where percutaneous techniques fail, surgical repair is indicated and where repair is not possible simple ligation of IMA can be done if patency of SMA and celiac trunk is maintained. Neurofibromatosis has been reported as a rare cause of visceral artery aneurysm due to the fibromuscular dysplasia leading to narrowing and dilatation.…”

Section: Discussionmentioning

confidence: 99%

Ruptured inferior mesenteric artery aneurysm in a patient with neurofibromatosis type I and its management

Sheth¹,

Kansakar²,

Agarwal³

et al. 2018

Int Surg J

View full text Add to dashboard Cite

Inferior mesenteric artery aneurysm is very rare and are usually asymptomatic. A high mortality is associated with aneurysmal rupture. The purpose of this paper is to report occurrence of a rare disease and its treatment options. A 64 years old woman presented with complaints of lower abdominal pain radiating to back for 1month, with non-passage of stools for 5days, and had decreased appetite. She had features of Neurofibromatosis type I. On examination, she had tachycardia and had pallor, and abdominal examination showed lumps in right and left iliac fossa which progressively increased in size. Computed tomography scan showed features of leaking inferior mesenteric artery aneurysm with perianeurysmal hematoma. The patient was taken up for surgical exploration wherein after checking the bowel viability, the inferior mesenteric artery was clipped at its origin, ligated and divided followed by hematoma evacuation. Post-operative stay was uneventful, and the patient was discharged on post-operative day 10.

show abstract

“…In general, open surgery is a more invasive procedure, poses some difficulties to access and, consequently, greater morbidity and mortality, which may result in up to 21% perioperative mortality 10,11 . In the case 260-cm long stiff hydrophilic guidewire was then kept in place for the placement of the 11-cm valved introducer with a 45-cm RDC catheter to improve support for endovascular navigation.…”

Section: Part I -Clinical Casementioning

confidence: 99%

Endovascular Treatment of Hepatic Artery Pseudoaneurysm secondary to an Erosion and Liver Block of Perforated Peptic Ulcer

Yoshida

Vieira²,

Yoshida

et al. 2013

J. vasc. bras.

View full text Add to dashboard Cite

Visceral Artery Aneurysms

Cited by 157 publications

References 32 publications

Visceral Artery Aneurysms and Pseudoaneurysms: Retrospective Analysis of Interventional Endovascular Therapy of 43 Aneurysms

Visceral Artery Aneurysms and Pseudoaneurysms: Retrospective Analysis of Interventional Endovascular Therapy of 43 Aneurysms

Ruptured inferior mesenteric artery aneurysm in a patient with neurofibromatosis type I and its management

Endovascular Treatment of Hepatic Artery Pseudoaneurysm secondary to an Erosion and Liver Block of Perforated Peptic Ulcer

Contact Info

Product

Resources

About