Endovascular management of giant visceral artery aneurysms

Abstract Endovascular management of small visceral artery aneurysms is an established treatment with satisfactory outcomes. However, when size exceeds 5 cm visceral aneurysms are considered as “giant” (giant visceral artery aneurysms or GVAAs) and management is significantly more complex. Between Au...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Marcello Andrea Tipaldi, Miltiadis Krokidis, Gianluigi Orgera, Matteo Pignatelli, Edoardo Ronconi, Florindo Laurino, Andrea Laghi, Michele Rossi
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/04964d044c8b40fe84701cc753e48b7a
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:04964d044c8b40fe84701cc753e48b7a
record_format	dspace
spelling	oai:doaj.org-article:04964d044c8b40fe84701cc753e48b7a2021-12-02T15:23:08ZEndovascular management of giant visceral artery aneurysms10.1038/s41598-020-80150-22045-2322https://doaj.org/article/04964d044c8b40fe84701cc753e48b7a2021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-80150-2https://doaj.org/toc/2045-2322Abstract Endovascular management of small visceral artery aneurysms is an established treatment with satisfactory outcomes. However, when size exceeds 5 cm visceral aneurysms are considered as “giant” (giant visceral artery aneurysms or GVAAs) and management is significantly more complex. Between August 2007 and June 2019 eleven cases of GVAAs that were endovascularly treated were retrospectively reviewed and included in this single center study. Mean size was 80 mm (± 26.3 mm) x 46 mm (+ \-11.8 mm). Nine of the lesions were true aneurysms, and two were pseudoaneurysms. In 8 patients, the lesion was causing compression symptoms in the surrounding organs, one patient developed a contained rupture while 2 patients were completely asymptomatic. However, all patients were hemodynamically stable at the time of treatment. Technical success was defined as immediate complete exclusion of the aneurysmal sac, and clinical success as complete relief from clinical symptoms. Follow-up was performed with CT angiography, ultrasound and clinical examination. Mean follow-up was 45 months (range 6–84). Technical and clinical success were both 91%. Complications were one lack of control of contained rupture that was subsequently operated, one case of self-limiting non-target spleen embolization and one case of splenic abscess. Three patients died, one due to the contained rupture 15 days after procedure, the other two for other causes and occurred during the long-term follow-up. This series suggests that endovascular treatment of giant visceral artery aneurysms and pseudoaneuryms is a valid minimally invasive solution with very satisfactory immediate and long-term outcomes unless the aneurysm is already ruptured. A variety of endovascular tools may be required for successful treatment.Marcello Andrea TipaldiMiltiadis KrokidisGianluigi OrgeraMatteo PignatelliEdoardo RonconiFlorindo LaurinoAndrea LaghiMichele RossiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Marcello Andrea Tipaldi Miltiadis Krokidis Gianluigi Orgera Matteo Pignatelli Edoardo Ronconi Florindo Laurino Andrea Laghi Michele Rossi Endovascular management of giant visceral artery aneurysms
description	Abstract Endovascular management of small visceral artery aneurysms is an established treatment with satisfactory outcomes. However, when size exceeds 5 cm visceral aneurysms are considered as “giant” (giant visceral artery aneurysms or GVAAs) and management is significantly more complex. Between August 2007 and June 2019 eleven cases of GVAAs that were endovascularly treated were retrospectively reviewed and included in this single center study. Mean size was 80 mm (± 26.3 mm) x 46 mm (+ \-11.8 mm). Nine of the lesions were true aneurysms, and two were pseudoaneurysms. In 8 patients, the lesion was causing compression symptoms in the surrounding organs, one patient developed a contained rupture while 2 patients were completely asymptomatic. However, all patients were hemodynamically stable at the time of treatment. Technical success was defined as immediate complete exclusion of the aneurysmal sac, and clinical success as complete relief from clinical symptoms. Follow-up was performed with CT angiography, ultrasound and clinical examination. Mean follow-up was 45 months (range 6–84). Technical and clinical success were both 91%. Complications were one lack of control of contained rupture that was subsequently operated, one case of self-limiting non-target spleen embolization and one case of splenic abscess. Three patients died, one due to the contained rupture 15 days after procedure, the other two for other causes and occurred during the long-term follow-up. This series suggests that endovascular treatment of giant visceral artery aneurysms and pseudoaneuryms is a valid minimally invasive solution with very satisfactory immediate and long-term outcomes unless the aneurysm is already ruptured. A variety of endovascular tools may be required for successful treatment.
format	article
author	Marcello Andrea Tipaldi Miltiadis Krokidis Gianluigi Orgera Matteo Pignatelli Edoardo Ronconi Florindo Laurino Andrea Laghi Michele Rossi
author_facet	Marcello Andrea Tipaldi Miltiadis Krokidis Gianluigi Orgera Matteo Pignatelli Edoardo Ronconi Florindo Laurino Andrea Laghi Michele Rossi
author_sort	Marcello Andrea Tipaldi
title	Endovascular management of giant visceral artery aneurysms
title_short	Endovascular management of giant visceral artery aneurysms
title_full	Endovascular management of giant visceral artery aneurysms
title_fullStr	Endovascular management of giant visceral artery aneurysms
title_full_unstemmed	Endovascular management of giant visceral artery aneurysms
title_sort	endovascular management of giant visceral artery aneurysms
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/04964d044c8b40fe84701cc753e48b7a
work_keys_str_mv	AT marcelloandreatipaldi endovascularmanagementofgiantvisceralarteryaneurysms AT miltiadiskrokidis endovascularmanagementofgiantvisceralarteryaneurysms AT gianluigiorgera endovascularmanagementofgiantvisceralarteryaneurysms AT matteopignatelli endovascularmanagementofgiantvisceralarteryaneurysms AT edoardoronconi endovascularmanagementofgiantvisceralarteryaneurysms AT florindolaurino endovascularmanagementofgiantvisceralarteryaneurysms AT andrealaghi endovascularmanagementofgiantvisceralarteryaneurysms AT michelerossi endovascularmanagementofgiantvisceralarteryaneurysms
_version_	1718387306308567040

Endovascular management of giant visceral artery aneurysms

Ejemplares similares