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Endovascular management of splenic artery aneurysms and pseudoaneurysms

Abstract

Splenic artery aneurysms and pseudoaneurysms are being diagnosed with increasing frequency by modern imaging. The question of appropriate treatment—surgical or endovascular—arises more often. We review our experience and that of others as documented in the literature. The information available suggests that endovascular management of a splenic artery aneurysm or pseudoaneurysm offers a lower complication rate than surgery, but postprocedure imaging to ensure obliteration is recommended.

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References

  1. Trastek VF, Pairlero PC, Joyce JW, Hollier LH, Bernatz PE (1982) Splenic artery aneurysms. Surgery 91:694–699

    Google Scholar 

  2. Probst P, Castaneda-Zuniga WR, Gomes AS, Yonehiro EG, Delaney JP, Amplatz K (1978) Nonsurgical treatment of splenicartery aneurysms. Radiology 128:619–623

    Google Scholar 

  3. Trastek VF, Pairolero PC, Bernatz PE (1985) Splenic artery aneurysms. World J Surg 9:378–383

    Google Scholar 

  4. Stanley JC, Fry WJ (1974) Pathogenesis and clinical significance of splenic artery aneurysms. Surgery 76:898–909

    Google Scholar 

  5. Barrett JM, VanHooydonk JE, Boehn FH (1982) Pregnancy-related rupture of arterial aneurysms. Obstet Gynecol Surv 37:557–566

    Google Scholar 

  6. Nishida O, Moriyasu F, Nakamura T, Ban N, Miura K, Sakai M, Uchino H, Miyake T (1986) Hemodynamics of splenic artery aneurysm. Gastroenterology 90:1042–1046

    Google Scholar 

  7. Ayalon A, Wiesner RH, Perkins JD, Tominaga S, Hayes DH, Krom RAF (1988) Splenic artery aneurysms in liver transplant patients. Transplantation 45:386–389

    Google Scholar 

  8. Rogers DM, Thompson JE, Garrett WV, Talkington CM, Patman RD (1982) Mesenteric vascular problems: A 26-year experience. Ann Surg 195:554–563

    Google Scholar 

  9. Busuttil RW, Brin BJ (1980) The diagnosis and management of visceral artery aneurysms. Surgery 88:619–624

    Google Scholar 

  10. De Vries JE, Schattenkerk ME, Malt RA (1982) Complications of splenic artery aneurysm other than intraperitoneal rupture. Surgery 91:200–204

    Google Scholar 

  11. Mehrotra D, DiBenedetto R, Theriot E, Moreland J, Mehta P (1983) Spontaneous rupture of splenic artery aneurysm: Sixth instance of both maternal and fetal survival. Obstet Gynecol 62:665–666

    Google Scholar 

  12. Stabile BE, Wilson SE, Debas HT (1983) Reduced mortality from bleeding pseudocysts and pseudoaneurysms caused by pancreatitis. Arch Surg 1418:45–51

    Google Scholar 

  13. Mandel SR, Jaques PF, Mauro MA, Sanofsky S (1987) Non-operative management of peripancreatic arterial aneurysms. Ann Surg 205:126–128

    Google Scholar 

  14. Salam TA, Lumsden AB, Martin LG, Smith RB (1992) Non-operative management of visceral aneurysms and pseudoaneurysms. Am J Surg 164:215–219

    Google Scholar 

  15. Stanley JC, Frey CF, Miller TA, Lindenauer SM, Child CG (1976) Major arterial hemorrhage: A complication of pancreatic pseudocysts and chronic pancreatitis. Arch Surg 111:435–440

    Google Scholar 

  16. Uflacker R, Diehl JC (1982) Successful embolization of a bleeding splenic artery pseudoaneurysm secondary to necrotizing pancreatitis. Gastrointest Radiol 7:379–382

    Google Scholar 

  17. Tihansky DP, Lluncor E (1986) Transcatheter embolization of multiple mycotic splenic artery aneurysms: A case report. Angiology 37:530–534

    Google Scholar 

  18. Baker KS, Tisnado J, Cho SR, Beachley MC (1987) Splanchnic artery aneurysms and pseudoaneurysms: Transcatheter embolization. Radiology 163:135–139

    Google Scholar 

  19. Uchino A, Maeoka N, Ohno M (1989) Prophylactic embolization for unruptured splenic artery aneurysm. Rinsho Hoshasen 34:961–963

    Google Scholar 

  20. Pirollet P, Picard L, Bracard S, Champigneulle B, Robert P, Claudon M, Gaucher P (1989) Aneurysme de l'artere splenique. Traitement par radiologie interventionnelle. Gastroenterol Clin Biol 13:849–850

    Google Scholar 

  21. Miyazaki M, Udagawa I, Koshikawa H, Itoh H, Kaiho S, Suzuki H, Okui K (1990) Transcatheter embolization of splenic artery aneurysm. Rinsho Hoshasen 35:641–644

    Google Scholar 

  22. Reidy JF, Rowe PH, Ellis FG (1990) Technical report: Splenic artery aneurysm embolisation—the preferred technique to surgery. Clin Radiol 41:281–282

    Google Scholar 

  23. Tarazov PG, Polysalov N, Ryzhkov VK (1991) Transcatheter treatment of splenic artery aneurysms: Report of two cases. J Cardiovasc Surg 32:128–131

    Google Scholar 

  24. Mazer M, Smith CW, Martin VN (1985) Distal splenic artery embolization with a flow-directed balloon catheter. Radiology 154:245

    Google Scholar 

  25. Jonasson O, Spigos DG, Mozes MF (1985) Partial splenic embolization: Experience in 136 patients. World J Surg 9:461–467

    Google Scholar 

  26. Lina JR, Jaques P, Mandell V (1979) Aneurysm rupture secondary to transcatheter embolization. AJR 132:553–556

    Google Scholar 

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McDermott, V.G., Shlansky-Goldberg, R. & Cope, C. Endovascular management of splenic artery aneurysms and pseudoaneurysms. Cardiovasc Intervent Radiol 17, 179–184 (1994). https://doi.org/10.1007/BF00571531

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  • DOI: https://doi.org/10.1007/BF00571531

key words

  • Artery, splenic
  • Aneurysm
  • Pseudoaneurysm
  • Embolization