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Case Reports
. 2009 Mar;5(1):81-4.

Endovascular Treatment of a Ruptured Splenic Artery Aneurysm using Amplatzer(®) Vascular Plug

Ud Manian  1 , H Badri, Pe Coyne, Ca Nice, Hy Ashour, V Bhattacharya
Affiliations
Case Reports

Endovascular Treatment of a Ruptured Splenic Artery Aneurysm using Amplatzer(®) Vascular Plug

Ud Manian et al. Int J Biomed Sci. 2009 Mar.

Abstract

Splenic Artery Aneurysms are commonly detected incidentally and can present acutely as a source of intra-abdominal catastrophe. Management options include both surgical and endovascular repair. The role of endovascular repair in an haemodynamically stable acute rupture is undefined and the use of Amplatzer(®) Vascular Plug has not to our knowledge been reported.

Keywords: endovascular embolisation; rupture; splenic artery aneurysm.

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Figures

Figure 1
Figure 1
CT scan shows retroperitoneal haematoma (arrow) between left psoas muscle and left kidney.
Figure 2
Figure 2
Splenic artery (arrow) distal to aneurysm catheterized using hydrophilic guidewire.
Figure 3
Figure 3
Amplatzer ® vascular plug pre-expansion.
Figure 4
Figure 4
Successful exclusion of aneurysm with distal perfusion via collaterals (arrows).
Figure 5
Figure 5
Follow up CT angiogram shows no flow in the aneurysm sac (arrow).
Figure 6
Figure 6
Computed Tomography (portal venous phase images) showing small segmental splenic infarcts (10-20% volume).
See this image and copyright information in PMC

References

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