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Endovascular treatment with stenting of celiac artery aneurysms

Fu-Kang Yuan1, Hai-Lin Xi1, Rui-Hao Qin1

  • 1Xuzhou Institute of Cardiovascular disease.

Medicine
|November 25, 2020
PubMed

Insights

Stent occlusion offers a safe and effective treatment for celiac arterial aneurysm (CAA). This method successfully achieved aneurysm obliteration and maintained artery patency in all patients, with no complications observed.

Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Gastroenterology

Background:

  • Celiac arterial aneurysm (CAA) is a rare condition requiring effective treatment.
  • Stent occlusion presents a potential therapeutic option for CAA.

Purpose of the Study:

  • To evaluate the clinical outcomes of patients with celiac arterial aneurysm (CAA) treated with stent occlusion.
  • To assess the safety and efficacy of stent occlusion for CAA.

Main Methods:

  • Retrospective analysis of 8 consecutive CAA patients treated with stent occlusion between March 2014 and September 2018.
  • Placement of 8 stents (2 uncovered, 6 covered) in the celiac artery and/or common hepatic artery.
  • Follow-up computed tomography (CT) at regular intervals (1, 3, 6, 12 months, then annually) to assess outcomes.

Main Results:

  • 100% technical success rate with stent and distal artery patency.
  • Complete obliteration of celiac arterial aneurysms (CAA) in all patients.
  • No procedure-associated complications or visceral necrosis during a median follow-up of 39 months.

Conclusions:

  • Stent occlusion is a safe and effective treatment for celiac arterial aneurysm (CAA).
  • The procedure demonstrates high rates of aneurysm obliteration and sustained artery patency.
  • This minimally invasive approach avoids complications like visceral necrosis.

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