Related Experiment Videos
[Aneurysms of the splanchnic arteries]
S Masciariello1, G Aprea, B Amato
1VII Divisione di Chirurgia Generale e Microchirurgia, Facoltà di Medicina e Chirurgia, Università degli Studi Federico II, Napoli.
Minerva Chirurgica
|January 1, 1997
Summary
Visceral artery aneurysms require prompt treatment. Surgical intervention or embolization is recommended for confirmed diagnoses to prevent rupture and high mortality, especially in high-risk patients.
Area of Science:
- Vascular Surgery
- Interventional Radiology
Background:
- Visceral aneurysms, though often asymptomatic, carry a high risk of rupture and mortality.
- The rarity of these aneurysms complicates treatment decisions regarding surgical versus non-surgical approaches.
Purpose of the Study:
- To evaluate the outcomes of surgical and embolization procedures for visceral artery aneurysms.
- To inform treatment strategies for asymptomatic and ruptured visceral aneurysms.
Main Methods:
- Retrospective analysis of 16 patients with visceral aneurysms treated between 1987 and 1993.
- Procedures included surgical repair, surgical reconstruction, and embolization with Gianturco coils.
Main Results:
- Aneurysm locations included splenic (8), renal (4), hepatic (3), and superior mesenteric (1) arteries.
- Eight patients were asymptomatic; three required emergency treatment for shock due to rupture.
- Treatment modalities varied based on aneurysm location and patient condition, with successful outcomes reported for both surgical and embolization techniques.
Conclusions:
- Visceral artery aneurysms necessitate surgical correction upon diagnosis via vascular imaging due to their progressive nature and rupture risk.
- Emergency surgery is indicated for ruptures.
- Selective embolization presents a viable non-operative alternative for high-risk patients, particularly for splenic and hepatic aneurysms.