Skip to main content
SpringerLink
Log in

Visceral Artery Aneurysms (Including Renal Artery Aneurysms)

  • Chapter
  • First Online:
Evidence-based Therapy in Vascular Surgery

Abstract

Visceral artery aneurysms (VAAs) are being treated if they are (a) symptomatic, (b) of a size of 2.0 cm or larger in patients with low comorbidity, (c) growing at a rapid rate of 0.5 cm per year or faster. Aneurysms can be treated by endovascular or open surgical repair. There are no evidence-based treatment recommendations. Though, case series about open repair did become uncommon over the last years.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Anderson JL, Halperin JL, Albert NM, et al. Management of patients with peripheral artery disease (compilation of 2005 and 2011 ACCF/AHA guideline recommendations): a report of the American College of Cardiology Foundation/American Heart Association Task Force on practice guidelines. Circulation. 2013;127:1425–43.

    Article  PubMed  Google Scholar 

  • Balderi A, Antonietti A, Ferro L, Peano E, Pedrazzini F, Fonio P, Grosso M. Endovascular treatment of visceral artery aneurysms and pseudoaneurysms: our experience. Radiol Med. 2012;117:815–30.

    Article  CAS  PubMed  Google Scholar 

  • Batagini NC, El-Arousy H, Clair DG, Kirksey L. Open versus endovascular treatment of visceral artery aneurysms and pseudoaneurysms. Ann Vasc Surg. 2016;35:1–8.

    Article  PubMed  Google Scholar 

  • Buck DB, Curran T, McCallum JC, Darling J, Mamtani R, van Herwaarden JA, Moll FL, Schermerhorn M. Management and outcomes of isolated renal artery aneurysms in the endovascular era. J Vasc Surg. 2016;63:77–81.

    Article  PubMed  Google Scholar 

  • Cordova AC, Sumpio BE. Visceral artery aneurysms and pseudoaneurysms-should they all be managed by endovascular techniques? Ann Vasc Dis. 2013;6:687–93.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dorigo W, Pulli R, Azas L, Fargion A, Angiletta D, Pratesi G, Alessi Innocenti A, Pratesi C. Early and intermediate results of elective endovascular treatment of true visceral artery aneurysms. Ann Vasc Surg. 2016;30:211–8.

    Article  PubMed  Google Scholar 

  • Etezadi V, Gandhi RT, Benenati JF, Rochon P, Gordon M, Benenati MJ, Alehashemi S, Katzen BT, GeisbĂĽsch P. Endovascular treatment of visceral and renal artery aneurysms. J Vasc Interv Radiol. 2011;22:1246–53.

    Article  PubMed  Google Scholar 

  • Fankhauser GT, Stone WM, Naidu SG, Oderich GS, Ricotta JJ, Bjarnason H, Money SR, Mayo Vascular Research Center Consortium. The minimally invasive management of visceral artery aneurysms and pseudoaneurysms. J Vasc Surg. 2011;53:966–70.

    Article  PubMed  Google Scholar 

  • Gandini R, Morosetti D, Chiocchi M, Chiaravalloti A, Citraro D, Loreni G, Da Ros V, Simonetti G. Long-term follow-up of endovascular treatment of renal artery aneurysms with covered stent deployment. J Cardiovasc Surg. 2016;57:625–33.

    Google Scholar 

  • Ghariani MZ, Georg Y, Ramirez C, Lebied E, Gaudric J, Chiche L, Kieffer E, Koskas F. Long-term results of surgical treatment of aneurysms of digestive arteries. Ann Vasc Surg. 2013;27:954–8.

    Article  PubMed  Google Scholar 

  • Guo B, Guo D, Xu X, Chen B, Shi Z, Luo J, Jiang J, Fu W. Early and intermediate results of endovascular treatment of symptomatic and asymptomatic visceral artery aneurysms. J Vasc Surg. 2016;64:140–8.

    Article  PubMed  Google Scholar 

  • Hogendoorn W, Lavida A, Hunink MG, Moll FL, Geroulakos G, Muhs BE, Sumpio BE. Open repair, endovascular repair, and conservative management of true splenic artery aneurysms. J Vasc Surg. 2014;60:1667–76.

    Article  PubMed  Google Scholar 

  • Hogendoorn W, Lavida A, Hunink MG, Moll FL, Geroulakos G, Muhs BE, Sumpio BE. Cost-effectiveness of endovascular repair, open repair, and conservative management of splenic artery aneurysms. J Vasc Surg. 2015;61:1432–40.

    Article  PubMed  Google Scholar 

  • Klausner JQ, Harlander-Locke MP, Plotnik AN, Lehrman E, DeRubertis BG, Lawrence PF. Current treatment of renal artery aneurysms may be too aggressive. J Vasc Surg. 2014;59:1356–61.

    Article  PubMed  Google Scholar 

  • Klausner JQ, Lawrence PF, Harlander-Locke MP, Coleman DM, Stanley JC, Fujimura N, Vascular Low-Frequency Disease Consortium. The contemporary management of renal artery aneurysms. J Vasc Surg. 2015;61:978–84.

    Article  PubMed  Google Scholar 

  • Koganemaru M, Abe T, Nonoshita M, Iwamoto R, Kusumoto M, Kuhara A, Kugiyama T. Follow-up of true visceral artery aneurysm after coil embolization by three-dimensional contrast-enhanced MR angiography. Diagn Interv Radio. 2014;20:129–35.

    Article  Google Scholar 

  • KĂĽnzle S, Glenck M, Puippe G, Schadde E, Mayer D, Pfammatter T. Stent-graft repairs of visceral and renal artery aneurysms are effective and result in long-term patency. J Vasc Interv Radiol. 2013;24:989–96.

    Article  PubMed  Google Scholar 

  • Lakin RO, Bena JF, Sarac TP, et al. The contemporary management of splenic artery aneurysms. J Vasc Surg. 2011;53:958–64.

    Article  PubMed  Google Scholar 

  • Marone EM, Mascia D, Kahlberg A, Brioschi C, Tshomba Y, Chiesa R. Is open repair still the gold standard in visceral artery aneurysm management? Ann Vasc Surg. 2011;25:936–46.

    Article  PubMed  Google Scholar 

  • Nanez L, Knowles M, Modrall JG, Valentine RJ. Ruptured splenic artery aneurysms are exceedingly rare in pregnant women. J Vasc Surg. 2014;60:1520–3.

    Article  PubMed  Google Scholar 

  • Patel A, Weintraub JL, Nowakowski FS, et al. Single-center experience with elective transcatheter coil embolization of splenic artery aneurysms: technique and midterm follow-up. J Vasc Interv Radiol. 2012;23:893–9.

    Article  PubMed  Google Scholar 

  • Pitton MB, Dappa E, Jungmann F, et al. Visceral artery aneurysms: incidence, management, and outcome analysis in a tertiary care center over one decade. Eur Radiol. 2015;25:2004–14.

    Article  PubMed  PubMed Central  Google Scholar 

  • Roberts KJ, McCulloch N, Forde C, Mahon B, Mangat K, Olliff SP, Jones RG. Emergency treatment of haemorrhaging coeliac or mesenteric artery aneurysms and pseudoaneurysms in the era of endovascular management. Eur J Vasc Endovasc Surg. 2015;49:382–9.

    Article  CAS  PubMed  Google Scholar 

  • Shukla AJ, Eid R, Fish L, Avgerinos E, Marone L, Makaroun M, Chaer RA. Contemporary outcomes of intact and ruptured visceral artery aneurysms. J Vasc Surg. 2015;61:1442–7.

    Article  PubMed  Google Scholar 

  • Sticco A, Aggarwal A, Shapiro M, Pratt A, Rissuci D, D’Ayala M. A comparison of open and endovascular treatment strategies for the management of splenic artery aneurysms. Vascular 2016;24: 487–91.

    Google Scholar 

  • Tiberio GA, Bonardelli S, Gheza F, Arru L, Cervi E, Giulini SM. Prospective randomized comparison of open versus laparoscopic management of splenic artery aneurysms: a 10-year study. Surg Endosc. 2012. [Epub ahead of print]

    Google Scholar 

  • Wayne EJ, Edwards MS, Stafford JM, Hansen KJ, Corriere MA. Anatomic characteristics and natural history of renal artery aneurysms during longitudinal imaging surveillance. J Vasc Surg. 2014;60:448–52.

    Article  PubMed  Google Scholar 

  • Yasumoto T, Osuga K, Yamamoto H, et al. Long-term outcomes of coil packing for visceral aneurysms: correlation between packing density and incidence of coil compaction or recanalization. J Vasc Interv Radiol. 2013;24:1798–807.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Vascular Medicine, University Heart and Vascular Center at University Clinics Hamburg–Eppendorf, Hamburg, Germany

    E. Sebastian Debus

  2. Former Medical Director, Community Hospital Altoetting-Burghausen, Burghausen, Germany

    Reinhart T. Grundmann

Authors
  1. E. Sebastian Debus
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Reinhart T. Grundmann
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Debus, E.S., Grundmann, R.T. (2017). Visceral Artery Aneurysms (Including Renal Artery Aneurysms). In: Evidence-based Therapy in Vascular Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-47148-8_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-47148-8_6

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-47147-1

  • Online ISBN: 978-3-319-47148-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation