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Endovascular repair of visceral artery aneurysms and pseudoaneurysms in 159 patients: twelve years' experience of clinical technique

  • Interventional Radiology
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Abdominal Radiology Aims and scope Submit manuscript

Abstract

Objectives

The purpose of this study was to evaluate the therapeutic efficacy and safety of endovascular treatment for patients with visceral and renal artery aneurysms (VRAAs). Twelve years of experience with interventional procedures and treatment options in our center were also worth discussing.

Methods

From January 2009 to December 2020, clinical data of 159 consecutive patients with VRAAs were retrospectively analyzed. Patients' demographic and clinical data were recorded, and the safety and efficacy of endovascular therapy were evaluated. In addition, interventional procedures were also described.

Results

A total of 159 patients underwent angiography, and 154 patients were successfully treated with endovascular therapy, with a technical success rate of 96.9%. Of the 154 patients with successful endovascular therapy, 3 patients died within 30 days of treatment, with a 30-day mortality rate of 1.9%, and the remaining patients were clinically successful, with a clinical success rate of 98.1%. Fifty-seven patients underwent emergency interventional treatment due to ruptured aneurysm. There were statistically significant differences in hemoglobin before and after emergency treatment (78.5 ± 22.0 g/dL vs. 93.8 ± 15.0 g/dL, P = 0.00). No other serious complications occurred except death in 3 patients.

Conclusion

Endovascular treatment of VRRAs is safe and effective and can significantly improve the symptoms of patients, especially those with ruptured aneurysms.

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Acknowledgements

This work was supported by Grant from National Nature Science Foundation of China (81873919).

Funding

This work was supported by Grant from National Nature Science Foundation of China (81873919).

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Author notes

  1. Yanqiao Ren, Zhiwen Wang, and Licheng Zhu contributed equally to this work.

Authors and Affiliations

  1. Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China

    Yanqiao Ren, Licheng Zhu, Xuefeng Kan, Lei Chen, Yiming Liu, Songlin Song, Xiaopeng Guo, Xiangjun Dong & Chuansheng Zheng

  2. Hubei Key Laboratory of Molecular Imaging, Wuhan, 430022, China

    Yanqiao Ren, Licheng Zhu, Xuefeng Kan, Lei Chen, Yiming Liu, Songlin Song, Xiaopeng Guo, Xiangjun Dong & Chuansheng Zheng

  3. Department of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China

    Zhiwen Wang

Authors
  1. Yanqiao Ren
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  2. Zhiwen Wang
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  3. Licheng Zhu
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  8. Xiaopeng Guo
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  9. Xiangjun Dong
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Contributions

YQR, ZWW, and LCZ collected the patients’ data. YQR drafted the manuscript. ZWW, LCZ, XFK, LC, and YML revised the manuscript. SLS and XPG analyzed and interpreted the data. YQR, ZWW, and SLS made substantial contributions to the conception of the work. XJD and CSZ made substantial contributions to the design of the work and have revised the manuscript substantively. All authors read and approved the final manuscript.

Corresponding authors

Correspondence to Xiangjun Dong or Chuansheng Zheng.

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Ren, Y., Wang, Z., Zhu, L. et al. Endovascular repair of visceral artery aneurysms and pseudoaneurysms in 159 patients: twelve years' experience of clinical technique. Abdom Radiol 47, 443–451 (2022). https://doi.org/10.1007/s00261-021-03326-y

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  • DOI: https://doi.org/10.1007/s00261-021-03326-y

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