Splenic artery aneurysms: postembolization syndrome and surgical complications |
| |
Authors: | Piffaretti Gabriele Tozzi Matteo Lomazzi Chiara Rivolta Nicola Riva Francesca Caronno Roberto Castelli Patrizio |
| |
Affiliation: | Vascular Surgery, Department of Surgery, University of Insubria-Varese, Ospedale di Circolo, 21100 viale Borri 57, Varese, Italy. gabriele.piffaretti@tiscali.it |
| |
Abstract: | BACKGROUND: This study assessed the endovascular embolization of splenic artery aneurysms and false aneurysms with special consideration given to postoperative complications. METHODS: Fifteen patients (11 women; mean age, 56 y; range, 39-80 y) with splenic artery aneurysm (n = 13) or false aneurysm (n = 2) were treated with coil embolization. The lesion was asymptomatic in 9 patients, symptomatic in 5 patients, and ruptured in 1 patient. The mean aneurysm diameter was 33 +/- 23 mm (range, 15-80 mm). Postoperative follow-up evaluation included a clinical visit and spiral computed tomography at 1, 4, and 12 months, and yearly thereafter. RESULTS: Endovascular treatment was possible in 14 patients (93%) (1 failure: neck cannulation). Perioperative mortality was not observed. Morbidity included postembolization syndrome in 5 patients (30%). Neither pancreatitis nor spleen abscess occurred. The mean follow-up period was 36 months (range, 3-60 mo). During follow-up evaluation we detected 1 sac reperfusion that was sealed successfully with additional coils. Surgical conversion or open repair were never required. CONCLUSIONS: At our institute, endovascular treatment represents the first-line treatment for splenic artery aneurysms. Postembolization syndrome and infarcts are common events but generally resolve without sequelae. |
| |
Keywords: | Splenic artery aneurysms Endovascular |
本文献已被 ScienceDirect PubMed 等数据库收录! |
|