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. 2015 Jul;25(7):2004-14.
doi: 10.1007/s00330-015-3599-1. Epub 2015 Feb 19.

Visceral artery aneurysms: Incidence, management, and outcome analysis in a tertiary care center over one decade

Michael B Pitton  1 , Evelyn Dappa, Florian Jungmann, Roman Kloeckner, Sebastian Schotten, Gesine M Wirth, Jens Mittler, Hauke Lang, Peter Mildenberger, Karl-Friedrich Kreitner, Katja Oberholzer, Christoph Dueber
Affiliations

Visceral artery aneurysms: Incidence, management, and outcome analysis in a tertiary care center over one decade

Michael B Pitton et al. Eur Radiol. 2015 Jul.

Abstract

Objectives: To evaluate the incidence, management, and outcome of visceral artery aneurysms (VAA) over one decade.

Methods: 233 patients with 253 VAA were analyzed according to location, diameter, aneurysm type, aetiology, rupture, management, and outcome.

Results: VAA were localized at the splenic artery, coeliac trunk, renal artery, hepatic artery, superior mesenteric artery, and other locations. The aetiology was degenerative, iatrogenic after medical procedures, connective tissue disease, and others. The rate of rupture was much higher in pseudoaneurysms than true aneurysms (76.3% vs.3.1%). Fifty-nine VAA were treated by intervention (n = 45) or surgery (n = 14). Interventions included embolization with coils or glue, covered stents, or combinations of these. Thirty-five cases with ruptured VAA were treated on an emergency basis. There was no difference in size between ruptured and non-ruptured VAA. After interventional treatment, the 30-day mortality was 6.7% in ruptured VAA compared to no mortality in non-ruptured cases. Follow-up included CT and/or MRI after a mean period of 18.0 ± 26.8 months. The current status of the patient was obtained by a structured telephone survey.

Conclusions: Pseudoaneurysms of visceral arteries have a high risk for rupture. Aneurysm size seems to be no reliable predictor for rupture. Interventional treatment is safe and effective for management of VAA.

Key points: • Diagnosis of visceral artery aneurysms is increasing due to CT and MRI. • Diameter of visceral arterial aneurysms is no reliable predictor for rupture. • False aneurysms/pseudoaneurysms and symptomatic cases need emergency treatment. • Interventional treatment is safe and effective.

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Figures

Fig. 1
Fig. 1
Incidence and localization of true, false and indeterminable aneurysms. SA splenic arterial aneurysm, HA hepatic arterial aneurysm, SMA superior mesenteric artery aneurysm, CT coeliac trunk aneurysm, GDA gastroduodenal artery aneurysm, PDA pancreaticoduodenal artery aneurysm, RA renal artery aneurysm, GA gastric artery aneurysm
Fig. 2
Fig. 2
Treatment allocation
See this image and copyright information in PMC

References

    1. Belli AM, Markose G, Morgan R. The role of interventional radiology in the management of abdominal visceral artery aneurysms. Cardiovasc Intervent Radiol. 2012;35:234–43. doi: 10.1007/s00270-011-0201-3. - DOI - PubMed
    1. Abbas MA, Fowl RJ, Stone WM, Panneton JM, Oldenburg WA, Bower TC, et al. Hepatic artery aneurysm: factors that predict complications. J Vasc Surg. 2003;38:41–5. doi: 10.1016/S0741-5214(03)00090-9. - DOI - PubMed
    1. Carroccio A, Jacobs TS, Faries P, Carroccio A, Jacobs TS, Faries P, et al. Endovascular treatment of visceral artery aneurysms. Vasc Endovasc Surg. 2007;41:373–82. doi: 10.1177/1538574407308552. - DOI - PubMed
    1. Gabelmann A, Görich J, Merkle EM. Endovascular treatment of visceral artery aneurysms. J Endovasc Ther. 2002;9:38–47. - PubMed
    1. Jesinger RA, Thoreson AA, Lamba R. Abdominal and pelvic aneurysms and pseudoaneurysms: imaging review with clinical, radiologic, and treatment correlation. Radiographics. 2013;33:E71–96. doi: 10.1148/rg.333115036. - DOI - PubMed

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