Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Endovascular management of visceral artery aneurysm
Autore:
Kasirajan, K; Greenberg, RK; Clair, D; Ouriel, K;
Indirizzi:
Cleveland Clin Fdn, Dept Vasc Surg, Cleveland, OH 44195 USA Cleveland ClinFdn Cleveland OH USA 44195 c Surg, Cleveland, OH 44195 USA
Titolo Testata:
JOURNAL OF ENDOVASCULAR THERAPY
fascicolo: 2, volume: 8, anno: 2001,
pagine: 150 - 155
SICI:
1526-6028(200104)8:2<150:EMOVAA>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
ABDOMINAL AORTIC-ANEURYSM; TRANSCATHETER EMBOLIZATION; NONOPERATIVE MANAGEMENT; PSEUDOANEURYSMS; RUPTURE;
Keywords:
coil embolization; embolotherapy; microcoils; hepatic artery; pseudoaneurysm;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Greenberg, RK Cleveland Clin Fdn, Dept Vasc Surg, 9500 Euclid Ave,Desk S-61, Cleveland, OH 44195 USA Cleveland Clin Fdn 9500 Euclid Ave,Desk S-61 Cleveland OH USA 44195
Citazione:
K. Kasirajan et al., "Endovascular management of visceral artery aneurysm", J ENDOVAS T, 8(2), 2001, pp. 150-155

Abstract

Purpose: To retrospectively review our experience with visceral artery aneurysms (VAAs) treated with percutaneous coil embolization techniques. Methods: Patient records were retrospectively reviewed between 1988 and 1998 for VAA cases treated with catheter-based techniques. Nine patients (5 women; mean age 64 +/- 11 years) with 12 (8 false and 4 true) VAAs were identified. The majority (67%) of these patients presented with symptoms of aneurysm rupture. The etiology of the aneurysm was iatrogenic in 4, pancreatitis in 4, and idiopathic in 4. Ten cases involved the hepatic artery; the other 2 aneurysmal arteries were the middle colic and the gastroduodenal. Selective and superselective catheter techniques were used to obtain access tothe VAA. A variety of microcoils were delivered to entirely fill saccular aneurysms, whereas fusiform aneurysms were thrombosed by occluding the inflow and outflow vessels. Results: Aneurysm exclusion was achieved in 9 (75%) of the 12 cases. The 3technical failures resulted from the inability to cannulate the aneurysm neck. Coil embolization of the neck of the aneurysm sac did not result in occlusion of the native vessel, with a single exception. No procedure-relatedcomplications or deaths were noted. All patients remained symptom free during a mean follow-up of 46.0 +/- 29.6 months. Conclusions: Percutaneous transcatheter coil embolotherapy is an effectivealternative to open surgery for the management of VAAs. This therapy may decrease the morbidity and mortality associated with an open surgical procedure in patients with ruptured aneurysms and pseudoaneurysms, selectively thrombosing the aneurysm while preserving flow in the native vessel.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/06/20 alle ore 00:02:08