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Multiple visceral artery aneurysms managed by Yasargil aneurysm clips
In-Kee Hong1, Ji-Ho Choi2, Young Chae Chu3
1Department of Surgery, Inha University School of Medicine, Incheon, Korea.
Annals of Surgical Treatment and Research
|September 15, 2015
Summary
This study details a successful surgical approach for multiple visceral artery aneurysms, utilizing intracranial aneurysm clips as a safe alternative when endovascular methods fail.
Area of Science:
- Vascular Surgery
- Interventional Radiology
- Gastroenterology
Background:
- Visceral artery aneurysms (VAAs) are rare but can lead to serious complications.
- Celiac trunk stenosis can be associated with visceral artery aneurysms.
- Treatment options for VAAs include endovascular repair and open surgery.
Observation:
- A 37-year-old woman presented with multiple visceral artery aneurysms in the pancreaticoduodenal, inferior pancreatic, and splenic arteries.
- The patient also had associated celiac trunk stenosis.
- Two aneurysms were treated with aneurysmectomy and end-to-end anastomosis.
Findings:
- Three additional aneurysms were successfully treated using intracranial aneurysm clips.
- A 36-month follow-up revealed no recurrence or new lesions.
- Spontaneous reconstitution of the celiac artery was observed post-treatment.
Implications:
- Intracranial aneurysm clips offer a feasible and safe option for treating visceral artery aneurysms.
- This technique is a viable consideration when endovascular procedures are not suitable.
- The findings suggest a potential expansion of treatment strategies for complex visceral artery pathologies.
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