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Evolution of the therapeutic approach of visceral artery aneurysms

J Ruiz-Tovar1, E Martínez-Molina, V Morales

  • 1Department of Surgery, University Hospital Ramón y Cajal, Madrid, Spain. jruiztovar@gmail.com

Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society
|February 13, 2008
PubMed

Insights

Visceral artery aneurysms require treatment due to rupture risk. While endovascular repair offers lower morbidity and shorter stays, surgical intervention remains crucial for many cases.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Gastroenterology

Background:

  • Visceral artery aneurysms are rare but carry a high mortality risk upon rupture.
  • Most visceral artery aneurysms are asymptomatic.

Purpose of the Study:

  • To review the experience with 18 cases of visceral artery aneurysms treated between 1988 and 2006.
  • To compare surgical and endovascular treatment outcomes.

Main Methods:

  • Retrospective review of 18 patients with visceral artery aneurysms.
  • Analysis of aneurysm location, patient demographics, symptoms, and treatment modalities.
  • Comparison of surgical versus endovascular treatment outcomes, including mortality, complications, and hospital stay.

Main Results:

  • 18 patients (9 male, 9 female, mean age 66.5) with aneurysms in various visceral arteries were analyzed.
  • 14 patients were asymptomatic; one presented with rupture.
  • Surgical treatment was performed in 13 patients, endovascular in 5. Post-surgical mortality was 0%, with 2 complications. Endovascular treatment had a shorter hospital stay but two failures required surgery.

Conclusions:

  • Treatment of visceral artery aneurysms is recommended due to rupture risk.
  • Endovascular treatment offers lower morbimortality and shorter hospital stays but is not suitable for all cases.
  • Endovascular treatment requires specific training and presents a learning curve.
Abstract

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