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The Role of Interventional Radiology in the Management of Abdominal Visceral Artery Aneurysms

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Abstract

Abdominal visceral artery aneurysms (VAA) include true and false aneurysms. The majority are asymptomatic and are discovered on cross-sectional imaging performed for unrelated clinical indications. With the maturation of techniques and devices used for embolization procedures and the treatment of aneurysms in other locations, most VAAs are now suitable for treatment by minimally invasive transcatheter techniques. The choice of technique used greatly depends on the local anatomy of the VAA and the experience of the interventional radiologist in complex vascular interventional techniques.

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References

  1. Hossain A, Reis ED, Dave SP et al (2001) Visceral artery aneurysms: experience in a tertiary-care center. Am Surg 67:432–437

    PubMed  CAS  Google Scholar 

  2. Pasha SF, Gloviczki P, Stanson AW, Kamath PS (2007) Splanchnic artery aneurysms. Mayo Clin Proc 82:472–479

    Article  PubMed  Google Scholar 

  3. Shanley CJ, Shah NL, Messina LM (1996) Common splanchnic artery aneurysms: splenic, hepatic, and celiac. Ann Vasc Surg 10:315–322

    Article  PubMed  CAS  Google Scholar 

  4. Messina LM, Shanley CJ (1997) Visceral artery aneurysms. Surg Clin North Am 77:425–442

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  6. Huang YK, Hsieh HC, Tsai FC et al (2007) Visceral artery aneurysm: risk factor analysis and therapeutic opinion. Eur J Vasc Endovasc Surg 33:293–301

    Article  PubMed  Google Scholar 

  7. 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 18:695–703

    Article  PubMed  Google Scholar 

  8. Ha JF, Phillips M, Faulkner K (2009) Splenic artery aneurysm rupture in pregnancy. Eur J Obstet Gynecol Reprod Biol 146:133–137

    Article  PubMed  Google Scholar 

  9. Mattar SG, Lumsden AB (1995) The management of splenic artery aneurysms: experience with 23 cases. Am J Surg 169:580–584

    Article  PubMed  CAS  Google Scholar 

  10. Pilleul F, Beuf O (2004) Diagnosis of splanchnic artery aneurysms and pseudoaneurysms, with special reference to contrast enhanced 3D magnetic resonance angiography: a review. Acta Radiol 45:702–708

    Article  PubMed  CAS  Google Scholar 

  11. Berceli SA (2005) Hepatic and splenic artery aneurysm. Semin Vasc Surg 18:196–201

    Article  PubMed  Google Scholar 

  12. Abbas MA, Stone WM, Fowl RJ et al (2002) Splenic artery aneurysms: two decades experience at Mayo Clinic. Ann Vasc Surg 16:442–449

    Article  PubMed  Google Scholar 

  13. Lee PC, Rhee RY, Gordon RY et al (1999) Management of splenic artery aneurysms: the significance of portal and essential hypertension. J Am Coll Surg 189:483–490

    Article  PubMed  CAS  Google Scholar 

  14. Pulli R, Dorigo W, Troisi N et al (2008) Surgical treatment of visceral artery aneurysms: a 25-year experience. J Vasc Surg 48:334–342

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

  16. Tessier DJ, Stone WM, Fowl RJ et al (2003) Clinical features and management of splenic artery pseudoaneurysm: case series and cumulative review of literature. J Vasc Surg 38:969–974

    Article  PubMed  Google Scholar 

  17. Tulsyan N, Kashyap VS, Greenberg RK et al (2007) The endovascular management of visceral artery aneurysms and pseudoaneurysms. J Vasc Surg 45:276–283

    Article  PubMed  Google Scholar 

  18. Kasirajan K, Greenberg RK, Clair D, Ouriel K (2001) Endovascular management of visceral artery aneurysm. J Endovasc Ther 8:150–155

    Article  PubMed  CAS  Google Scholar 

  19. Nosher JL, Chung J, Brevetti LS et al (2006) Visceral and renal artery aneurysms: a pictorial essay on endovascular therapy. Radiographics 26:1687–1704

    Article  PubMed  Google Scholar 

  20. Rossi M, Rebonato A, Greco L et al (2008) Endovascular exclusion of visceral artery aneurysms with stent-grafts; technique and long term follow-up. Cardiovasc Intervent Radiol 31:36–42

    Article  PubMed  Google Scholar 

  21. Van der Vlies C, van Delden O, Punt BJ et al (2010) Literature review of the role of ultrasound, computed tomography, and transcatheter arterial embolization for the treatment of traumatic splenic injuries. Cardiovasc Intervent Radiol 33:1079–1087

    Article  PubMed  Google Scholar 

  22. Larson RA, Solomon J, Carpenter JP (2002) Stent graft repair of visceral artery aneurysms. J Vasc Surg 36:1260–1263

    Article  PubMed  Google Scholar 

  23. Ikuda O, Nakasone Y, Tamura Y, Yamashita Y (2010) Endovascular management of visceral artery pseudoaneurysms: transcatheter coil embolization using the isolation technique. Cardiovasc Intervent Radiol 33:1128–1134

    Article  Google Scholar 

  24. Engelke C, Quarmby J, Morgan R et al (2002) Autologous thrombin treatment for a traumatic intrasplenic pseudoaneurysm. J Endovasc Ther 9:29–35

    Article  PubMed  Google Scholar 

  25. Tominaga GT, Simon FJ Jr, Dandan IS et al (2009) Immunologic function after splenic embolization: is there a difference? J Trauma 67:289–295

    Article  PubMed  Google Scholar 

  26. Abbas MA, Fowl RJ, Stone WM et al (2003) Hepatic artery aneurysm: factors that predict complications. J Vasc Surg 38:41–45

    Article  PubMed  Google Scholar 

  27. Ahmed I, Fotiadis NI, Dilks P et al (2010) Multiple intrahepatic artery aneurysms in a patient with Behçet’s disease; use of transcatheter embolization for rupture. Cardiovasc Intervent Radiol 33:398–401

    Article  PubMed  Google Scholar 

  28. Balderi A, Antonietti A, Pedrazzini F et al (2010) Treatment of a hepatic artery aneurysm by endovascular exclusion using the multilayer Cardiatis stent. Cardiovasc Intervent Radiol 33:1282–1286

    Article  PubMed  CAS  Google Scholar 

  29. Stone WM, Abbas MA, Gloviczki P et al (2002) Celiac arterial aneurysms: a critical reappraisal of a rare entity. Arch Surg 137:670–674

    Article  PubMed  Google Scholar 

  30. Waldenberger P, Bendix N, Petersen J et al (2007) Clinical outcome of endovascular therapeutic occlusion of the celiac artery. J Vasc Surg 46:655–661

    Article  PubMed  Google Scholar 

  31. Leon LR Jr, Mills JL Sr, Jordan W et al (2009) The risks of celiac artery coverage during endoluminal repair of thoracic and thoracoabdominal aortic aneurysms. J Vasc Endovascular Surg 43:51–60

    Article  Google Scholar 

  32. Vaddineni SK, Taylor SM, Patterson MA, Jordan WD Jr (2007) Outcome after celiac artery coverage during endovascular thoracic aortic aneurysm repair: preliminary results. J Vasc Surg 45:467–471

    Article  PubMed  Google Scholar 

  33. Dinter DJ, Rexin M, Kaehler G, Neff W (2007) Fatal coil migration into the stomach 10 years after endovascular celiac aneurysm repair. J Vasc Interv Radiol 18(Pt 1):117–120

    Article  PubMed  Google Scholar 

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

    Article  PubMed  CAS  Google Scholar 

  35. Bratby MJ, Lehmann ED, Bottomley J et al (2006) Endovascular embolisation of visceral artery aneurysms with ethylene–vinyl alcohol (Onyx): a case series. Cardiovasc Intervent Radiol 29:1125–1128

    Article  PubMed  CAS  Google Scholar 

  36. Lumsden AB, Salam TA, Walton KG (1996) Renal artery aneurysm: a report of 28 cases. Cardiovasc Surg 4:185–189

    Article  PubMed  CAS  Google Scholar 

  37. Love WK, Robinette MA, Vernon CP (1981) Renal artery aneurysm rupture in pregnancy. J Urol 126:809–811

    PubMed  CAS  Google Scholar 

  38. Tham G, Ekelund L, Herrlin K et al (1983) Renal artery aneurysms. Natural history and prognosis. Ann Surg 197:348–352

    Article  PubMed  CAS  Google Scholar 

  39. Baandrup U, Fjeldborg O, Olsen S (1983) Spontaneous dissecting aneurysm of the renal arteries. A case and a review of the literature. Virchows Arch A Pathol Anat Histopathol 402:73–82

    Article  PubMed  CAS  Google Scholar 

  40. Altit R, Brown DB, Gardiner GA (2009) Renal artery aneurysms and arterio-venous fistula associated with fibromuscular dysplasia: successful treatment with detachable coils. J Vasc Interv Radiol 20:1083–1086

    Article  PubMed  Google Scholar 

  41. Meyer C, Verrel F, Weyer G, Wilhelm K (2011) Endovascular management of complex renal artery aneurysms using the multilayer stent. Cardiovasc Intervent Radiol 34:637–641

    Article  PubMed  Google Scholar 

  42. Rabellino M, García-Nielsen L, Zander T et al (2011) Stent-assisted coil embolization of a mycotic renal artery aneurysm by use of a self-expanding neurointerventional stent. Cardiovasc Intervent Radiol 34(Suppl 2):S109–S112

    Article  PubMed  Google Scholar 

  43. Bui BT, Oliva VL, Leclerc G et al (1995) Renal artery aneurysm: treatment with percutaneous placement of a stent-graft. Radiology 195:181–182

    PubMed  CAS  Google Scholar 

  44. Lupattelli T, Abubacker Z, Morgan R, Belli AM (2003) Embolization of a renal artery aneurysm using ethylene vinyl alcohol copolymer (Onyx). J Endovasc Ther 10:366–370

    Article  PubMed  Google Scholar 

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Correspondence to Anna-Maria Belli.

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Belli, AM., Markose, G. & Morgan, R. The Role of Interventional Radiology in the Management of Abdominal Visceral Artery Aneurysms. Cardiovasc Intervent Radiol 35, 234–243 (2012). https://doi.org/10.1007/s00270-011-0201-3

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  • DOI: https://doi.org/10.1007/s00270-011-0201-3

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