Skip to main content
SpringerLink
Log in

Endovascular Exclusion of Visceral Artery Aneurysms with Stent-Grafts: Technique and Long-Term Follow-up

  • Clinical Investigation
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

This paper describes four cases of visceral artery aneurysms (VAAs) successfully treated with endovascular stent-grafts and discusses the endovascular approach to VAAs and the long-term results. Four balloon expandable stent-grafts were used to treat three splenic artery aneurysms and one bleeding common hepatic artery pseudoaneurysm. The percutaneous access site and the materials were chosen on the basis of CT angiography findings. In all cases the aneurysms were successfully excluded. In one case a splenic infarction occurred, with nonrelevant clinical findings. At 16- to 24-month follow-up three patients had patent stents and complete exclusion and shrinkage of the aneurysms. One patient died due to pancreatitis and sepsis, 16 days after successful stenting and exclusion of a bleeding pseudoaneurysm. We conclude that endovascular treatment using covered stent-grafts is a valid therapeutic option for VAAs. Multislice CT preoperative study helps in planning stent-graft positioning.

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

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. McDermott VG, Shlansky-Goldberg R, Cope C, et al. (1994) Endovascular management of splenic artery aneurysm and pseudo-aneurysm. Cardiovasc Interv Radiol 17(4):179–184

    Article  CAS  Google Scholar 

  2. Chiesa R, Astore D, Guzzo G, et al. (2005) Visceral artery aneurysms. Ann Vasc Surg 19(1):42–48

    Article  PubMed  CAS  Google Scholar 

  3. Salam TA, Lumsden AB, Martin LG, et al. (1992) Non-operative management of visceral aneurysms and pseudoaneurysms. Am J Surg 164(3):215–219

    Article  PubMed  CAS  Google Scholar 

  4. Venturini M, Angeli E, Salvioni M, et al. (2002) Haemorrhage from a right hepatic artery pseudoaneurysm: endovascular treatment with a coronary stent-graft. J Endovasc Ther 9(2):221–224

    Article  PubMed  Google Scholar 

  5. Hyun-Ki Y, Mats L, Petr U, et al. (2001) Stent-graft repair of a splenic artery aneurysm. Cardiovasc Interv Radiol 24(3):200–203

    Google Scholar 

  6. Gabelmann A, Görich J, Merkle EM (2002) Endovascular treatment of visceral artery aneurysms. J Endovasc Ther 9(1):38–47

    Article  PubMed  Google Scholar 

  7. Stanley JC, Wakefield TW, Graham LM, et al. (1986) Clinical importance and management of splanchnic artery aneurysms. J Vasc Surg 3:836–840

    Article  PubMed  CAS  Google Scholar 

  8. Grego FG,Lepidi S, Ragazzi R, et al. (2003) Visceral artery aneurysm: a single center experience. Cardiovasc Surg 11:19–25

    Article  PubMed  CAS  Google Scholar 

  9. Motohiro S, Izumi A, Masayuki Y, et al. (2006) Splenic artery aneurysm of the anomalous splenomesenteric trunk: successful treatment by transcatheter embolization using detachable coils. Cardiovasc Interv Radiol 29(3):432–434

    Article  Google Scholar 

  10. Stone WM, Abbas M, Cherry KJ, et al. (2002) Superior mesenteric artery aneurysms: Is presence an indication for intervention? J Vasc Surg 36(2):234–237

    Article  PubMed  CAS  Google Scholar 

  11. Trastek VF, Pairolero PC, Joyce JW, et al. (1982) Splenic artery aneurysms. World J Surg 91(6):694–699

    CAS  Google Scholar 

  12. Guillon R, Garcier JM, Abergel A, et al. (2003) Management of splenic artery aneurysms and false aneurysms with endovascular treatment in 12 patients Cardiovasc Interv Radiol 26(3):256–260

    Article  CAS  Google Scholar 

  13. Sofocleous CT,Hinrichs CR, Hubbi B, et al. (2005) Embolization of isolated lumbar artery injuries in trauma patients. Cardiovasc Interv Radiol 28(6):730–735

    Article  Google Scholar 

  14. Sessa C, Tinelli G, Porcu P, et al. (2004) Treatment of visceral artery aneurysms: description of a retrospective series of 42 aneurysms in 34 patients. Ann Vasc Surg 18(6):695–703

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Interventional Radiology Unit, Radiology Department, S. Andrea, University Hospital “La Sapienza”, 1035 Via di Grottarossa, Rome, 00189, Italy

    Michele Rossi, Alberto Rebonato, Laura Greco, Michele Citone & Vincenzo David

Authors
  1. Michele Rossi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Alberto Rebonato
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Laura Greco
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Michele Citone
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Vincenzo David
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Alberto Rebonato.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rossi, M., Rebonato, A., Greco, L. et al. Endovascular Exclusion of Visceral Artery Aneurysms with Stent-Grafts: Technique and Long-Term Follow-up. Cardiovasc Intervent Radiol 31, 36–42 (2008). https://doi.org/10.1007/s00270-007-9167-6

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-007-9167-6

Keywords

Search

Navigation