| The minimally invasive management of visceral artery aneurysms and pseudoaneurysms. | |
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MedLine Citation:
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PMID: 21216559 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Minimally invasive methods (MIMs) are now available for the management of visceral artery aneurysms and pseudoaneurysms (visceral artery aneurysms [VAA]). The purpose of this study was to review our 10-year experience with the MIM of treating VAA. METHODS: All patients evaluated from June 1999 to June 2009 with VAAs were reviewed. Demographics, therapy, and results were analyzed. RESULTS: MIM was attempted in 185 aneurysms in 176 patients. Initial intervention was successful in 98% ofaneurysms. Sixty-three (34%) aneurysms were located in the splenic artery, 56 (30%) in the hepatic, 28 (15%) in the gastroduodenal, 16 (8.6%) in the pancreaticoduodenal, six (3.2%) in the superior mesenteric, four (2.1%) in the gastric, four (2.1%) in the celiac, four (2.1%) in the gastroepiploic, two (1%) in the inferior mesenteric, and one (0.5%) in the middle colic artery. Pseudoaneurysms were more common than true aneurysms (64% vs 36%). Bleeding was the indication for intervention in 86 aneurysms (46%). Initial treatment was successful in 177 aneurysms (98%). Reintervention was required in five (3%) aneurysms within 30 days. Coiling was used alone in 139 aneurysms (75%) and in combination with at least one other technique in 20 (11%) cases. Thirty-day aneurysm-related mortality was 3.4% (six deaths). Five additional deaths occurred during 30-day follow-up, although none was related to complications of the aneurysms (2.8%). CONCLUSIONS: MIM for visceral artery aneurysms can be used alone or in combination to effectively treat VAAs in elective or emergent conditions. |
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Authors:
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Grant T Fankhauser; William M Stone; Sailendra G Naidu; Gustavo S Oderich; Joseph J Ricotta; Haraldur Bjarnason; Samuel R Money; |
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Publication Detail:
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Type: Journal Article; Multicenter Study Date: 2011-01-08 |
Journal Detail:
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Title: Journal of vascular surgery Volume: 53 ISSN: 1097-6809 ISO Abbreviation: J. Vasc. Surg. Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-03-28 Completed Date: 2011-05-27 Revised Date: 2012-10-03 |
Medline Journal Info:
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Nlm Unique ID: 8407742 Medline TA: J Vasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 966-70 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved. |
Affiliation:
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Division of Vascular Surgery, Department of Surgery, Mayo Clinic, Phoenix, AZ 85054, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Aneurysm / mortality, therapy* Aneurysm, False / mortality, therapy* Aneurysm, Ruptured / therapy Arteries Endovascular Procedures* / adverse effects, mortality Female Humans Male Middle Aged Time Factors Treatment Outcome United States Viscera / blood supply* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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