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Endovascular stent graft treatment in a patient with splenic artery aneurysm
Kutlay Karaman1, Levent Onat, Mustafa Sirvanci
1Department of Radiology, Florence Nightingale Hospital, Istanbul, Turkey. kutlaykaraman@ttnet.net.tr
Insights
Splenic artery aneurysms, though rare, can be serious. Percutaneous embolization using a stent-graft offers an effective endovascular treatment to prevent rupture and preserve spleen function.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Gastroenterology
Background:
- Splenic artery aneurysms (SAAs) are rare but significant visceral arterial lesions, accounting for 60% of all visceral aneurysms.
- The splenic artery is the third most common site for intra-abdominal aneurysm formation.
- Rupture is a major complication, occurring in 3-10% of cases.
Observation:
- A case of a proximal splenic artery aneurysm is presented.
- The patient underwent percutaneous endovascular embolization using a stent-graft.
- The procedure aimed to preserve splenic function and reduce rupture risk.
Findings:
- The endovascular embolization was technically successful.
- The patient experienced an uneventful follow-up period after the procedure.
- This minimally invasive approach effectively managed the aneurysm.
Implications:
- Endovascular embolization provides an effective alternative to surgery for splenic artery aneurysms.
- This technique can prevent the need for emergency surgical intervention.
- Preserving splenic function is a key benefit of this approach.
Abstract:
Splenic artery aneurysms are rare but important vascular lesions that constitute approximately 60% of all visceral arterial aneurysms. Splenic artery is the third most common localization of intraabdominal aneurysm formation. Rupture is the main complication that occurs in 3%-10% of the cases. We describe a case with a proximal splenic artery aneurysm. To preserve splenic function and reduce the risk of aneurysmal rupture, we used stent-graft to embolize the aneurysm treated percutaneously. The follow up of patient was uneventful after embolization. Endovascular embolization of the splenic artery aneurysm may prevent the need for emergency surgery and also offer an effective alternative surgical treatment.
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