Interdisciplinary Management of Visceral Artery Aneurysms and Visceral Artery Pseudoaneurysms
Language English Country Czech Republic Media print
Document type Journal Article
PubMed
32422115
DOI
10.14712/18059694.2020.14
PII: am_2020063010043
Knihovny.cz E-resources
- Keywords
- hemorrhage, rupture risk, visceral artery aneurysms, visceral artery pseudoaneurysm, visceral ischemia,
- MeSH
- Aneurysm diagnostic imaging surgery MeSH
- Angiography MeSH
- Celiac Artery diagnostic imaging surgery MeSH
- Hepatic Artery diagnostic imaging surgery MeSH
- Splenic Artery diagnostic imaging surgery MeSH
- Mesenteric Artery, Superior diagnostic imaging surgery MeSH
- Computed Tomography Angiography MeSH
- Endovascular Procedures methods MeSH
- Gastric Artery diagnostic imaging surgery MeSH
- Middle Aged MeSH
- Humans MeSH
- Aneurysm, False diagnostic imaging surgery MeSH
- Aged MeSH
- Stents MeSH
- Patient Care Team MeSH
- Vascular Surgical Procedures methods MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
The paper presents the results of treating 14 patients, namely eight patients with visceral artery aneurysms and six patients with visceral artery pseudoaneurysms. In 64.3% of the patients, the initial diagnosis was made based on the ultrasound examination. All the patients (100%) underwent CT angiography, while angiography was performed in 71.4% of the cases. Five (35.7%) patients with visceral artery pseudoaneurysms were emergently hospitalized; among them, the signs of bleeding were observed in 2 patients. In 9 patients, pathology was detected during tests for other conditions. Five (35.7%) patients underwent endovascular treatment, while 9 (64.3%) patients received surgical treatment. Endovascular interventions and open surgery demonstrated a nil mortality rate. After endovascular treatment, stent thrombosis was found in 1 patient. In the case of surgical treatment, visceral artery aneurysm was observed in 1 patient who underwent the resection of superior mesenteric artery pseudoaneurysm. Conclusions. The choice of the method of treating visceral artery aneurysms and visceral artery pseudoaneurysms depends on the location, size, anatomic features of the visceral arteries and the clinical course of the disease. Both endovascular and surgical treatment demonstrate good postoperative outcomes. Visceral ischemia is one of the most serious complications in the postoperative period, which can complicate both the diagnosis and the choice of treatment tactics.
1st Department of Surgery Pavol Jozef Šafárik University Faculty of Medicine Košice Slovak Republic
Uzhhorod National University Medical Faculty Department of Surgical Diseases Uzhhorod Ukraine
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