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Application of a personal Santini technique in the resolution of a complex celiac trunk aneurysm - endovascular
Gianpaolo Santini1, Pasquale Quassone2, Luca Tarotto1
1Vascular and Interventional Unit-P.O. Ospedale del Mare, ASL NA1 Centro, viale delle Metamorfosi, Naples, Italy.
Insights
This study presents a minimally invasive endovascular repair for a complex hepatic artery aneurysm with splenic artery dissection. The successful procedure highlights safety and reduced patient recovery compared to traditional methods.
Area of Science:
- Vascular Surgery
- Interventional Radiology
Background:
- Vascular pathologies, including hepatic artery aneurysms, often present with unclear etiology and unpredictable progression.
- Existing treatment guidelines for complex vascular conditions can be conflicting, necessitating innovative approaches.
Abstract:
Aim Vascular pathologies have been already explored for the most of their aspects. It is a group of pathologies with unclear ethology and with an evolution in time not easy to forecast. Treatment guidelines are conflicting. The aim of this study was to describe cases in their most practical and technical aspect, especially in complicated conditions. Methods This was a descriptive case report of a patient with a hepatic artery aneurysm complicated by a dissection leading up to the splenic artery, and how the team had invented a planned treatment for the patient using a minimally invasive approach. The experience was born with the intention of showing how the endovascular approach is at least as safe as the traditional one despite the complexity of our case. Results The procedure was completed without any complications. After a stay in long day surgery, the patient returned home. Conclusion Using a minimally invasive technique allows to reduce the patient's post-operative suffering and the economic burden on the health system.
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