Interdisciplinary Management of Visceral Artery Aneurysms and Visceral Artery Pseudoaneurysms
Jazyk angličtina Země Česko Médium print
Typ dokumentu časopisecké články
PubMed
32422115
DOI
10.14712/18059694.2020.14
PII: am_2020063010043
Knihovny.cz E-zdroje
- Klíčová slova
- hemorrhage, rupture risk, visceral artery aneurysms, visceral artery pseudoaneurysm, visceral ischemia,
- MeSH
- aneurysma diagnostické zobrazování chirurgie MeSH
- angiografie MeSH
- arteria coeliaca diagnostické zobrazování chirurgie MeSH
- arteria hepatica diagnostické zobrazování chirurgie MeSH
- arteria lienalis diagnostické zobrazování chirurgie MeSH
- arteria mesenterica superior diagnostické zobrazování chirurgie MeSH
- CT angiografie MeSH
- endovaskulární výkony metody MeSH
- gastrická arterie diagnostické zobrazování chirurgie MeSH
- lidé středního věku MeSH
- lidé MeSH
- nepravé aneurysma diagnostické zobrazování chirurgie MeSH
- senioři MeSH
- stenty MeSH
- týmová péče o pacienty MeSH
- výkony cévní chirurgie metody MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články 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
Citace poskytuje Crossref.org