Endovascular treatment of a splenic artery aneurysm (case report)
Heading: Surgery Article type: Case report
Authors: Shvarts E.Yu., Odintsov N.S., Khazov P.A., Generalov M.I., Kokorin D.M., Oleschuk A.N., Maystrenko D.N.
Organization: A. M. Granov Russian Research Center of Radiology and Surgical Technologies, The Almazov National Medical Research Centre, Head of Second Cerebral and Spinal Cord Tumors Department, Doctor of Medical Sciences
Aneurysmal dilatation of the visceral arteries is quite a rare disease in vascular surgery (only 0.1-2% of cases per 100000 population). Nevertheless, for patients with this pathology, timely diagnostics is very important, since there is a high risk of sudden bleeding into the retroperitoneal space associated with a rupture of aneurysm. This paper presents a clinical case of successful endovascular treatment of a giant splenic artery aneurysm by its embolization with coils. Our experience shows that endovascular treatment is a valid alternative to open surgery for patients with splenic artery aneurysm. It is believed that transcatheter embolization of visceral artery aneurysms is the method of choice for this pathology.
Bibliography:
1. Tulsyan N, Kashyap VS, Greenberg RK, et al. The endovascular management of visceral artery aneurysms and pseudoaneurysms. J Vase Surg 2007; 45 (2): 276-83.
2. Cordova AC, Sumpio BE. Visceral Artery Aneurysms and Pseudoaneurysms — Should They All be Managed by Endovascular Techniques? Ann Vase Dis2013; 6 (4): 687-93.
3. Hemp JH, Sabri SS. Endovascular management of visceral arterial aneurysms. Tech Vase Interv Radiol 2015; 18(1): 14-23.
4. Leung E, Maingard J, Yeh J, et al. Contemporary endovascular management of splenic vascular pathologies. Clin Radiol 2020; 75 (12): 960.e23-960.e34.
5. Lagana D, Carrafiello G, Mangini M, et al. Multimodal approach to endovascular treatment of visceral artery aneurysms and pseudoaneurysms. Eur J Radiol 2006; 59 (1): 104-11.
6. Galimov O, Plechev V, Ishmetov V, et al. Newest technologiies in celiac trunk aneurysms treatment. Creative Surgery and Oncology 2017; 7 (2): 62-6.
7. Shevchenko YL, Stoyko YM, Bolomatov NV, et al. Application of neuro-endovascular technologies in the treatment of post-traumatic false aneurysms of the visceral arteries. International Journal of Interventional Cardioangiology 2014; (36): 48-51.
8. Deger КС, Gundes Е, FedakarA. Surgical management of a splenic artery aneurysm. Clin Case Rep 2016; 4 (5): 524-5.
9. Erbel R, Aboyans V, Boileau C, et al. Corrigendum to: 2014 ESC Guidelines on the diagnosis and treatment of aortic diseases. Eur Heart J 2015; 36 (41): 2779.
10. Loffroy R, Guiu B, Cercueil JP, et al. Transcatheter arterial embolization of splenic artery aneurysms and pseudoaneurysms: short- and long-term results. Ann Vase Surg 2008; 22 (5): 618-26.
11. Tijani Y, Zahdi O, Hormat-Allah M, et al. Embolisation des anevrysmes de I'artere splenique: traitement de choix. A propos d'un cas et revue de la litterature [Embolization of splenic artery aneurysms: Treatment of choice. About a case and review of the literature]. Ann Cardiol Angeiol 2020; (29): S0003-3928 (20) 30190-6.
12. Saltzberg SS, Maldonado TS, Lamparello PJ, et al. Is endovascular therapy the preferred treatment for all visceral artery aneurysms? Ann Vase Surg 2005; 19 (4): 507-15.
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