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A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
Visceral aneurysms: Old paradigms, new insights?
M J E van Rijn1, S Ten Raa1, J M Hendriks1
1Department of Vascular and Endovascular Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
Best Practice & Research. Clinical Gastroenterology
|April 12, 2017
Summary
Visceral artery aneurysms (VAAs) are rare but can rupture, especially pseudoaneurysms. Treatment decisions are challenging due to low-evidence risk factors and varied intervention options.
Area of Science:
- Vascular Surgery
- Interventional Radiology
Background:
- True visceral artery aneurysms (VAAs) are rare, affecting 0.01-2% of patients.
- Rupture risk varies by VAA type (pseudoaneurysms higher risk) and factors like size, growth, and pregnancy.
- Rupture carries a significant mortality rate of approximately 25%.
Purpose of the Study:
- To compare treatment options for visceral artery aneurysms.
- To identify risk factors associated with VAA rupture.
- To evaluate the current evidence supporting treatment decisions.
Main Methods:
- Literature review comparing open and endovascular repair techniques.
- Analysis of factors influencing VAA rupture risk.
- Assessment of the existing evidence base for VAA management.
Main Results:
- Splenic artery aneurysms are most common, often due to atherosclerosis.
- Open repair involves ligation or reconstruction; endovascular options include embolization or stent grafts.
- The current literature provides low-level evidence for risk factors and treatment efficacy.
Conclusions:
- Treatment planning requires consideration of aneurysm location, collateral circulation, and patient condition.
- The low level of evidence makes definitive clinical decision-making for VAAs challenging.
- Further high-quality research is needed to guide VAA management strategies.
Keywords:
Endovascular treatmentOpen repairRuptureVisceral artery aneurysmVisceral artery pseudo aneurysmMore Related Videos
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