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THE JOURNAL OF CARDIOVASCULAR SURGERY
Rivista di Chirurgia Cardiaca, Vascolare e Toracica
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632
The Journal of Cardiovascular Surgery 2011 Agosto;52(4):557-65
Visceral artery aneurysms: management of 48 cases
Piffaretti G. 1, Lomazzi C. 1, Carrafiello G. 1, Tozzi M. 1, Mariscalco G. 3, Castelli P. 1 ✉
1 Unit of Vascular Surgery, Department of Surgical Sciences, Varese University Hospital-University of Insubria, Varese, Italy;
2 Unit of Vascular and Interventional Radiology, Department of Radiology, Varese University Hospital-University of Insubria, Varese, Italy;
3 Unit of Cardiac Surgery, Department of Surgical Sciences, Varese University Hospital-University of Insubria, Varese, Italy
AIM: The purpose of this study was to review the outcomes of endovascular treatment and open repair of visceral artery aneurysms, and to compare their results.
METHODS: Between January 1995 and January 2009, 42 patients (22 males) underwent surgical or endovascular treatment for visceral artery aneurysms. Mean age was 60 ± 13 (range, 35-85). Overall, 12 patients (25%) were asymptomatic, twenty-six patients (54.2%) were symptomatic, and 10 aneurysms (20.8%) were ruptured. The first 12 cases (28.6%) were treated with open repair; thereafter, endovascular techniques were used to treat 30 VAAs (71.4%).
RESULTS: Ten patients were treated in emergency setting [8 in the endovascular group (26.6%) and 2 in the open repair group (16.7%), P=0.491]. In the endovascular group, primary technical success was achieved in 29 of 30 VAAs (96.6%). Overall in-hospital mortality was 2.4%. Major complications occurred in 8 patients (3 endovascular vs 5 open repair, P=0.01). Overall, mean hospitalization was 9.7 vs. 13 days (P<0.0001). Mean follow-up was 64 months (range, 3 months-14 years). In the endovascular group, reperfusion was higher in larger (>5 cm) aneurysms (P<0.0001).
CONCLUSION:Endovascular techniques could be the first treatment option for all visceral artery aneurysms.