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Vol 17, No 3 (2011)
Research paper
Published online: 2011-10-24
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Endovascular treatment of visceral artery aneurysms — a single-centre experience

Michał Sojka, Tomasz Jargiełło, Michał Przyszlak, Krzysztof Pyra, Anna Drelich-Zbroja, Andrzej Wolski, Małgorzata Szczerbo-Trojanowska
DOI: 10.5603/aa.18673
·
Acta Angiologica 2011;17(3):209-218.

open access

Vol 17, No 3 (2011)
Original papers
Published online: 2011-10-24

Abstract

Background. Visceral artery aneurysms (VAAs) are intra-abdominal aneurysms that occur in the coeliac trunk and the superior and inferior mesenteric arteries or their branches. They are uncommon vascular anomalies but can be life-threatening, with mortality ranging from 10 to 25% and up to 75% in pregnant women. Currently available treatment options include transcatheter embolisation, percutaneous implantation of covered stent, or surgical resection. The aim of our study was to demonstrate methods of minimally invasive endovascular treatment of visceral artery aneurysms and to assess their applicability and efficacy.
Material and methods. Between January 2000 and September 2009, 34 patients with VAAs (aged 23–79 years) underwent endovascular treatment. Different techniques were used: 14 aneurysms were embolised with coils, covered stents were implanted in 12 patients, and in 8 cases transcatheter direct thrombin injection into the sack of the aneurysm was implemented.
Results. Almost all aneurysms (33/34) were successfully excluded from the circulation. Follow-up examinations with Doppler USG or angio-CT were performed in 31 patients between 3 and 18 months after treatment. No reperfusion of aneurysmal sac was observed in any of the followed-up patients. Satisfactory results were observed in all 31 examined patients.
Conclusions. Our experience shows that percutaneous treatment of visceral artery aneurysms is both safe and effective. Endovascular treatment of these lesions should be considered as the primary treatment option. Good treatment results depend on proper assessment of the aneurysm’s morphology by means of angio-CT or angiography as well as on selection of the appropriate vascular approach and endovascular technique.
Acta Angiol 2011; 17, 3: 209–218

Abstract

Background. Visceral artery aneurysms (VAAs) are intra-abdominal aneurysms that occur in the coeliac trunk and the superior and inferior mesenteric arteries or their branches. They are uncommon vascular anomalies but can be life-threatening, with mortality ranging from 10 to 25% and up to 75% in pregnant women. Currently available treatment options include transcatheter embolisation, percutaneous implantation of covered stent, or surgical resection. The aim of our study was to demonstrate methods of minimally invasive endovascular treatment of visceral artery aneurysms and to assess their applicability and efficacy.
Material and methods. Between January 2000 and September 2009, 34 patients with VAAs (aged 23–79 years) underwent endovascular treatment. Different techniques were used: 14 aneurysms were embolised with coils, covered stents were implanted in 12 patients, and in 8 cases transcatheter direct thrombin injection into the sack of the aneurysm was implemented.
Results. Almost all aneurysms (33/34) were successfully excluded from the circulation. Follow-up examinations with Doppler USG or angio-CT were performed in 31 patients between 3 and 18 months after treatment. No reperfusion of aneurysmal sac was observed in any of the followed-up patients. Satisfactory results were observed in all 31 examined patients.
Conclusions. Our experience shows that percutaneous treatment of visceral artery aneurysms is both safe and effective. Endovascular treatment of these lesions should be considered as the primary treatment option. Good treatment results depend on proper assessment of the aneurysm’s morphology by means of angio-CT or angiography as well as on selection of the appropriate vascular approach and endovascular technique.
Acta Angiol 2011; 17, 3: 209–218

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Keywords

visceral artery aneurysms; endovascular procedures; percutaneous treatment; embolisation; covered stents

About this article
Title

Endovascular treatment of visceral artery aneurysms — a single-centre experience

Journal

Acta Angiologica

Issue

Vol 17, No 3 (2011)

Article type

Research paper

Pages

209-218

Published online

2011-10-24

Page views

988

Article views/downloads

2393

DOI

10.5603/aa.18673

Bibliographic record

Acta Angiologica 2011;17(3):209-218.

Keywords

visceral artery aneurysms
endovascular procedures
percutaneous treatment
embolisation
covered stents

Authors

Michał Sojka
Tomasz Jargiełło
Michał Przyszlak
Krzysztof Pyra
Anna Drelich-Zbroja
Andrzej Wolski
Małgorzata Szczerbo-Trojanowska

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