Endovascular intervention for the treatment of visceral artery aneurysms: experience in 11 cases
- VernacularTitle:血管内介入治疗腹腔内脏动脉瘤11例经验
- Author:
Maoqiang WANG
;
Zhongpu WANG
;
Wei GUO
;
Fengyong LIU
;
Zhijun WANG
;
Luyue GAI
- Publication Type:Journal Article
- Keywords:
Aneurysm;
Embolization, therapeutic;
Interventional procedures
- From:
Chinese Journal of General Surgery
2000;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate interventional techniques for the management of splanchnic artery areurysms. MethodsThere were 11 cases including splenic artery aneurysm in 5 cases, gastroduodenal in 5, and superior mesenteric artery (SMA) aneurysm in 1. Five patients presented with ruptured pseudoaneurysms and bleeding. Three patients presented with abdominal pain and epigastric pulsatile mass. Three patients were asymptomatic. Transcatheter endovascular coil embolization was used in 10 patients. Combination of the endovascular embolization and stent-graft placement in the SMA was performed in 1 patient with SMA areurysm. ResultsTechnical success was achieved in all cases with no significant complications. Hemostasis was achieved in all 5 patients. One patient was cured by combination of stenting and endovascular coil embolization. An average follow-up of 25.5 months in 11 cases revealed no complications. Doppler ultrasound scan showed complete thrombosis and occlusion of these aneurysms. ConclusionsTranscatheter endovascular interventional techniques are safe and effective methods for the treatment of splanchnic artery areurysms.