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Rivista di Angiologia

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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International Angiology 2016 December;35(6):573-8

lingua: Inglese

Endovascular therapy for visceral artery aneurysms

Stefan ACOSTA, Giuseppe ASCIUTTO

Vascular Centre, 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).
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 anesthesia was used in 93%. Coil embolization were performed without (N.=15) and with (N.=14) other techniques. Nine aneurysms were excluded with stent grafts 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.
CONCLUSIONS: Endovascular therapy of VAAs, irrespective of etiology, was an effective treatment option.

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