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Official Journal of the , the International Union of Phlebology and the
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,899
Online ISSN 1827-1839
Acosta S., Asciutto G.
Vascular Centre, Malmö, Skåne University Hospital, Malmö, Sweden
BACKGROUND: The aim of this study was to report outcome and complications of endovascular therapy for visceral artery aneurysms (VAA).
PATIENTS AND METHODS: Forty endovascular procedures for VAAs were performed in 33 patients between 2009 and 2014.
RESULTS: The main indications was size (n=15), bleeding (n=14) and mycotic aneurysm (n=3). The splenic artery was the most common artery of true aneurysms (11/16) and pseudo aneurysms due to pancreatitis (5/14). The median size of the true aneurysms was 24 mm (range 15–65). Two ruptures of true VAAs occurred in elderly. Five patients had eleven synchronous artery aneurysms at CT abdomen. Local anaesthesia were used in 93%. Coil embolization were performed without (n=15) and with (n=14) other techniques. Nine aneurysms were excluded with stentgrafts and patency rate was 88%. Coil embolization was complicated by five spleen infarctions, managed with splenectomy (n=1) and drainage of abscess (n=1). One patient died, unrelated to the VAA.
CONCLUSION: Endovascular therapy of VAAs, irrespective of aetiology, was an effective treatment option.