A digital service from FCT Publication
ENDOVASCULAR MANAGEMENT AND OUTCOMES OF VISCERAL ARTERIAL ANEURYSMS — SINGLE CENTRE EXPERIENCE
| Summary: | Introduction: Over the past decade, endovascular treatment (EVT) is taking over visceral arterial aneurysms treatment considering its effectiveness, safety and minimal invasiveness. Methods: We retrospectively evaluated our department experience in visceral arterial aneurysms endovascular approach from 2009 to 2019. Results: From 2009 to 2019, nineteen visceral artery aneurysms were submitted to EVT (mean age 62,5 years, 53% women). The addressed arterial segments were: the splenic artery (52%, n=10) followed by the renal artery (21%, n = 4), the hepatic artery (11%, n = 2), the superior mesenteric artery (11%, n = 2) and the celiac arrtery (5%, n = 1). Average diameter was 26,9 ± 5,4 mm [range 21–39 mm]. The majority were asymptomatic incidental findings (74%). Concomitant aneurysms were found in 3 patients (15,8%). EVT included: stent-graft exclusion (n = 9), aneurysm-sac coil embolization (n = 6), stent-assisted coil embolization (n=2) and segmental artery exclusion (n=2). Median radiological follow-up was 46,8 months [range 1,1–128 months]. Early SMA occlusion was reported in one case after stent-assisted coil embolization, however without ischemic symptoms. End-organ loss was reported in one case (renal artery coil embolization, without overall renal function worsening). Conclusion: Nowadays, endovascular approach is the first-line intervention for most visceral arterial aneurysms. Although still limited, the reported results are favourable and are in line with the current literature. |
|---|---|
| Subject: | visceral artery aneurysm aneurisma de artéria visceral embolization covered stent embolização pseudoaneurisma de artéria visceral outcome analysis procedimentos endovasculares stents-recobertos endovascular procedures visceral artery pseudoaneurysm |
| Country: | Portugal |
| Document type: | journal article |
| Access type: | Restricted |
| Associated institution: | Angiologia e Cirurgia Vascular |
| Language: | English |
| Origin: | Angiologia e Cirurgia Vascular |
| _version_ | 1850560651280252928 |
|---|---|
| conditionsOfAccess_str | Copyright (c) 2020 Angiologia e Cirurgia Vascular |
| contentURL_str_mv | http://acvjournal.com/index.php/acv/article/view/251/170 http://acvjournal.com/index.php/acv/article/view/251 |
| country_str | PT |
| description | Introduction: Over the past decade, endovascular treatment (EVT) is taking over visceral arterial aneurysms treatment considering its effectiveness, safety and minimal invasiveness. Methods: We retrospectively evaluated our department experience in visceral arterial aneurysms endovascular approach from 2009 to 2019. Results: From 2009 to 2019, nineteen visceral artery aneurysms were submitted to EVT (mean age 62,5 years, 53% women). The addressed arterial segments were: the splenic artery (52%, n=10) followed by the renal artery (21%, n = 4), the hepatic artery (11%, n = 2), the superior mesenteric artery (11%, n = 2) and the celiac arrtery (5%, n = 1). Average diameter was 26,9 ± 5,4 mm [range 21–39 mm]. The majority were asymptomatic incidental findings (74%). Concomitant aneurysms were found in 3 patients (15,8%). EVT included: stent-graft exclusion (n = 9), aneurysm-sac coil embolization (n = 6), stent-assisted coil embolization (n=2) and segmental artery exclusion (n=2). Median radiological follow-up was 46,8 months [range 1,1–128 months]. Early SMA occlusion was reported in one case after stent-assisted coil embolization, however without ischemic symptoms. End-organ loss was reported in one case (renal artery coil embolization, without overall renal function worsening). Conclusion: Nowadays, endovascular approach is the first-line intervention for most visceral arterial aneurysms. Although still limited, the reported results are favourable and are in line with the current literature. |
| documentTypeURL_str | http://purl.org/coar/resource_type/c_6501 |
| documentType_str | journal article |
| id | cf170102-a89a-4787-bf9b-23b5eea6e3f9 |
| identifierDoi_str | https://doi.org/10.48750/acv.251 |
| language | eng |
| relatedInstitutions_str_mv | Angiologia e Cirurgia Vascular |
| resourceName_str | Angiologia e Cirurgia Vascular |
| spellingShingle | ENDOVASCULAR MANAGEMENT AND OUTCOMES OF VISCERAL ARTERIAL ANEURYSMS — SINGLE CENTRE EXPERIENCE visceral artery aneurysm aneurisma de artéria visceral embolization covered stent embolização pseudoaneurisma de artéria visceral outcome analysis procedimentos endovasculares stents-recobertos endovascular procedures visceral artery pseudoaneurysm |
| title | ENDOVASCULAR MANAGEMENT AND OUTCOMES OF VISCERAL ARTERIAL ANEURYSMS — SINGLE CENTRE EXPERIENCE |
| topic | visceral artery aneurysm aneurisma de artéria visceral embolization covered stent embolização pseudoaneurisma de artéria visceral outcome analysis procedimentos endovasculares stents-recobertos endovascular procedures visceral artery pseudoaneurysm |