Visceral artery aneurysms—follow-up of 23 patients with 31 aneurysms after surgical or interventional therapy

Grotemeyer, D.; Duran, Mansur; Park, Eun-Jo; Hoffmann, Norbert; Blondin, D.; Iskandar, F.; Balzer, K.; Sandmann, W.

doi:10.1007/s00423-009-0482-z

Cited by 72 publications

(49 citation statements)

References 38 publications

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“…(1)(2)(3)(4)(5)(6) Of the 18 case series of splanchnic artery aneurysms in the literature, only two out of a total of 561 patients were reported to have jejunal artery aneurysms. (7)(8)(9)(10) Jejunal artery aneurysms are usually diagnosed incidentally during CT radiography performed for another indication, (1)(2)(3)5,6) and rarely, they may also be diagnosed during an operative procedure such as a pancreaticoduodenectomy. (4) Any splanchnic artery aneurysm has significant clinical implications due to the possibility of causing rupture, bleeding and even occlusion, thus causing ischaemic bowel.…”

Section: Discussionmentioning

confidence: 99%

“…(7)(8)(9) However, with the widespread use of CT angiography, there is increased detection of asymptomatic splanchnic artery aneurysms, in which treatment by angioembolisation has been shown to be effective as a first-line treatment with few complications and low recurrence rates. (2,5,(7)(8)(11)(12)(13)(14)(15) First described in 1974, angiographic diagnosis and treatment of gastrointestinal haemorrhage has since progressed significantly with advances in microcatheter technology, digital fluoroscopy and increased experience of interventional radiologists. Numerous reports have documented its safety and high rates of success of over 90%.…”

Section: Discussionmentioning

confidence: 99%

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Successful endovascular embolisation of a jejunal artery aneurysm

Leow²,

Tan³

et al. 2015

smedj

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Jejunal artery aneurysms are rare, with only six cases reported in the literature to date. Endovascular embolisation of the jejunal artery is rarely performed. Herein, we report the case of a 57-year-old man who successfully underwent endovascular embolisation for bleeding caecal diverticulosis, during which a 9-mm fusiform jejunal artery aneurysm was incidentally diagnosed. Subsequently, the jejunal aneurysm was successfully embolised using Vortex coils.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Successful endovascular embolisation of a jejunal artery aneurysm

Leow²,

Tan³

et al. 2015

smedj

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“…Depending on the association of collateral circulation and the dimensions of the aneurysms, the most commonly performed procedures were i) resection of the aneurysm and end-to-end anastomosis, and ii) resection and allograft or venous graft reconstruction. After a mean follow up of 54.6 months, in one case the reconstructed right artery had become occluded without any symptoms (6).…”

Section: Discussionmentioning

confidence: 96%

“…The main therapeutic procedures in uncomplicated aneurysms include endovascular techniques, such as percutaneous embolization or classical surgical approach, consisting of aneurysmal resection with or without vascular reconstruction. On the other hand, reconstructive procedures are mainly indicated when a patent collateral vascularization is not present (6).…”

mentioning

confidence: 99%

Expand+In Vivoiv.iiarjournals.orgIn Vivo September-October 2017 vol. 31 no. 5 979-982 Successful Resection and Vascular Ligation of a Large Hepatic Artery Aneurysm – A Case Report and Literature Review

Bacalbaşa

Brezean

Anghel

et al. 2018

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Abstract.Hepatic artery aneurysms account for up to 20% of all reported visceral aneurysms and might remain asymptomatic for a long period of time (1, 2). In cases presenting large lesions, compression on the elements of the hepatic pedicle might be encountered, inducing portal hypertension. It is estimated that the risk of aneurysmal rupture ranges between 20% and 80%, and the mortality rate reaches up to 21% (3, 4). Due to this reason, and the fact that there is no strong evidence to demonstrate any correlation between aneurysm size and rupture risk, all hepatic aneurysms should be treated (5). The main therapeutic procedures in uncomplicated aneurysms include endovascular techniques, such as percutaneous embolization or classical surgical approach, consisting of aneurysmal resection with or without vascular reconstruction. On the other hand, reconstructive procedures are mainly indicated when a patent collateral vascularization is not present (6). Case ReportA 68-year-old patient, who was investigated for recurrent upper digestive tract bleeding, was diagnosed during a computed tomography examination with a large aneurysm affecting the common and the proper hepatic artery as well as the gastroduodenal artery, and compressing the portal vein. The imagistic examinations revealed the presence of an accessory left hepatic artery entering the left liver lobe, originating from the left gastric artery. Due to the presence of the large, partially thrombosed aneurysm involving the common and the proper hepatic artery, as well as the gastroduodenal artery, the patient was initially submitted to a percutaneous right portal branch embolization in order to induce a left hemiliver hypertrophy. Two months later the patient was submitted to surgery; intraoperatively the findings of the imagistic examinations were confirmed. The 979

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“…visceralines aneurizmas turinčių pacientų turi ir pilvo aortos, 40 proc. -kitų visceralinių arterijų aneurizmų) [21].…”

Section: Klinikaunclassified

Visceralinių Aneurizmų Gydymo Patirtis Vilniaus Miesto Klinikinėje Ligoninėje

Kvietkauskas¹

2017

Medicinos Teorija Ir Praktika

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Reikšminiai žodžiai: visceralinės aneurizmos, aneurizmos plyšimas. Visceralinės aneurizmos yra reta patologija. Medicinos publikacijose apie visceralines aneurizmas dažniausiai pristatomi pavieniai klinikiniai atvejai, o ne tyrimai, paremti statistine duomenų analize. Straipsnyje pateikiama visceralinių aneurizmų gydymo Vilniaus miesto klinikinėje ligoninėje patirtis. Vilniaus miesto klinikinėje ligoninėje per pastaruosius 13 metų gydyti 6 pacientai, sergantys visceralinėmis aneurizmomis. Kadangi gydytų pacientų skaičius buvo per mažas, kad būtų galima atlikti statistiškai patikimus skaičiavimus, straipsnyje pateikiama aprašomoji analizė. Gydyti pacientai, sirgę įvairių lokalizacijų visceralinėmis aneurizmomis, kurios pasireiškė įvairia klinika. Diagnozė buvo nustatyta dažniausiai atsitiktinai, atlikus pilvo echoskopiją, rečiau – kompiuterinės tomografijos metodu. Patologija patikslinta ir invazinio gydymo taktika parinkta atlikus kompiuterinę tomografiją, o kai kuriais atvejais – ir angiografiją. Gydyti 4 asimptominėmis aneurizmomis sergantys pacientai, 1 – simptomine ir 1 – plyšusia. Taikytas tiek endovaskulinis, tiek operacinis gydymas. 3 gydyti pacientai pasveiko, 1 paciento būklė nepakito, 2 – mirė. Visceralinių aneurizmų diagnostiką apsunkina šiai patologijai būdinga nespecifiška klinika. Neatidėliotina ar skubi intervencija būtina siekiant sumažinti pacientų, sergančių atitinkamai simptominėmis arba plyšusiomis visceralinėmis aneurizmomis, mirtingumą. Operacinio gydymo rezultatai yra stabilesni, tačiau nuolat progresuojantis ir tinkamai taikomas endovaskulinis gydymas pamažu tampa pirmu pagal pasirinkimą gydymo metodu. Visceralinių aneurizmų diagnostikos ir gydymo patirtis bei iššūkiai Vilniaus miesto klinikinėje ligoninėje yra analogiški pateikiamiems kitose publikacijose, nagrinėjančiose šią patologiją.

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Visceral artery aneurysms—follow-up of 23 patients with 31 aneurysms after surgical or interventional therapy

Abstract: Surgical and interventional therapy of VAAs can be life-saving treatments for the patient with a low periprocedural morbidity. The success rate, defined as the exclusion of VAA rupture and the absence of abdominal discomfort, in our material was 88.2% after a mean follow-up of 54.6 months.

Cited by 72 publications

References 38 publications

Successful endovascular embolisation of a jejunal artery aneurysm

Successful endovascular embolisation of a jejunal artery aneurysm

Expand+In Vivoiv.iiarjournals.orgIn Vivo September-October 2017 vol. 31 no. 5 979-982 Successful Resection and Vascular Ligation of a Large Hepatic Artery Aneurysm – A Case Report and Literature Review

Visceralinių Aneurizmų Gydymo Patirtis Vilniaus Miesto Klinikinėje Ligoninėje

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