Document Detail


Aneurysms of the splenic artery - a review.
MedLine Citation:
PMID:  20569943     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Splenic artery aneurysm is the third most common intra-abdominal aneurysm with a prevalence as high as 10% in some studies. Widespread use of abdominal imaging has resulted in the increasing detection of asymptomatic incidental aneurysms. In this manuscript we review the changing incidence, risk factors and evolving therapeutic options in the era of minimally invasive therapy and have developed a treatment algorithm for practical use. Aneurysms with a low risk of rupture may be treated conservatively but require regular imaging to ascertain progress. Available evidence suggests that splenic artery aneurysms that are symptomatic, enlarging, more than 2 cm in diameter or those detected in pregnancy, childbearing age or following liver transplantation are at high risk of rupture and should undergo active treatment. Prophylactic screening should be reserved for those with multiple risk factors, such as pregnancy in liver transplant recipients. All false aneurysms should also be treated. The primary therapeutic approach should be endovascular therapy by either embolization or stent grafting.
Authors:
Yahya Al-Habbal; Chris Christophi; Vijayaragavan Muralidharan
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Publication Detail:
Type:  Journal Article; Review     Date:  2010-03-12
Journal Detail:
Title:  The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland     Volume:  8     ISSN:  1479-666X     ISO Abbreviation:  Surgeon     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-06-23     Completed Date:  2010-12-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101168329     Medline TA:  Surgeon     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  223-31     Citation Subset:  IM    
Copyright Information:
Crown Copyright © 2009. Published by Elsevier Ltd. All rights reserved.
Affiliation:
The University of Melbourne, Department of Surgery, Austin Hospital, Heidelberg, Australia. yahya@alhabbal.info
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MeSH Terms
Descriptor/Qualifier:
Algorithms
Aneurysm / diagnosis,  therapy*
Aneurysm, False / diagnosis,  therapy
Diagnostic Imaging
Female
Humans
Incidence
Liver Transplantation / adverse effects
Male
Pregnancy
Pregnancy Complications / diagnosis,  therapy
Risk Factors
Splenic Artery*
Surgical Procedures, Minimally Invasive

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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