Document Detail


Visceral artery aneurysms: series of 17 cases treated in a single center.
MedLine Citation:
PMID:  20224529     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: The aim of this study is to evaluate early and long term results obtained with a retrospective review in 8-year experience with surgical/endovascular treatment of visceral artery aneurysm (VAA) in a single center. METHODS: Between 2001 and 2008 in our vascular surgery unit visceral artery aneurysms were diagnosed with CT and/or angiography in 17 patients (9 male), mean age 66 years old (range: 18 to 78). All patients underwent surgical or endovascular treatment of splanchnic artery aneurysm. In 14 patients the localization was single, in 3 it was multiple. The arteries involved were: splenic artery 53%, superior mesenteric artery 17.7%, pancreaticoduodenal artery 17.7%, celiac axis 5.8% and hepatic artery 5.8%. The 29.4% of the patients presented with aneurysm rupture. Coil embolizzation was used in 11.6% of the cases while surgery was used in 88.4% of the cases. RESULTS: Total survival rate was 94.2%, the survival rate in emergency cases was 80% while it was 100% in elective cases. Follow-up revealed excellent results after an average of 46 months (range: 8-102). CONCLUSION: The worst prognosis for ruptured cases associated with the good result of the surgical/endovascular treatment in elective cases, suggests active interaction for such pathologies; in emergency cases the mortality incidence is too high. Today endovascular treatment presents lower morbidity and mortality rates and shorter hospitalization, but surgery is still a good therapeutic option for the treatment of the VAA, in subjects with low surgical risk, determining a definitive and long-lasting correction of the aneurysmal pathology and guaranteeing the correct perfusion of the organs, by grafts; moreover many aneurysms are not suitable for endovascular treatment.
Authors:
E Ferrero; A Gaggiano; M Ferri; A Viazzo; G Berardi; S Piazza; P Cumbo; V Lamorgese; F Nessi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International angiology : a journal of the International Union of Angiology     Volume:  29     ISSN:  1827-1839     ISO Abbreviation:  Int Angiol     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-03-12     Completed Date:  2010-07-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8402693     Medline TA:  Int Angiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  30-6     Citation Subset:  IM    
Affiliation:
Vascular and Endovascular Surgery Unit, Mauriziano Umberto I Hospital, Turin, Italy. emaferrero@libero.it
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aneurysm / mortality,  radiography,  surgery,  therapy*
Aneurysm, Ruptured / mortality,  radiography,  surgery,  therapy*
Arteries / surgery
Embolization, Therapeutic* / adverse effects,  mortality
Female
Humans
Italy
Male
Middle Aged
Retrospective Studies
Risk Assessment
Surgical Procedures, Elective
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Vascular Surgical Procedures* / adverse effects,  mortality
Viscera / blood supply*
Young Adult

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


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