کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4228595 1609863 2006 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Multimodal approach to endovascular treatment of visceral artery aneurysms and pseudoaneurysms
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی رادیولوژی و تصویربرداری
پیش نمایش صفحه اول مقاله
Multimodal approach to endovascular treatment of visceral artery aneurysms and pseudoaneurysms
چکیده انگلیسی

PurposeTo assess the feasibility and the effectiveness of endovascular treatment of visceral arteries aneurysms (VAAs) using a “multimodal approach”.Material and methodsTwenty-five patients (mean age 60.1 years) with 29 VAAs (13 splenic, 4 hepatic, 3 gastroduodenal, 6 renal, 2 pancreatic-duodenal, 1 superior mesenteric) were considered suitable for endovascular treatment; 8/29 were ruptured. Saccular aneurysms (9/29) were treated by sac embolization with coils (in 4 cases associated with cyanoacrylate or thrombin) with preservation of artery patency. Fusiform aneurysms (6/29), were treated by an “endovascular exclusion”. In 10/29 cases, supplied by a terminal branch, we performed an embolization of the afferent artery, with coils and cyanoacrylate or thrombin. 2/29 cases were treated with a stent-graft and 2/29 cases with a percutaneous ultrasound-guided thrombin injection and coils embolization of the afferent artery. The follow-up was performed by ultrasonography and/or CT-angiography 1 week after the procedure and then after 1, 6, and 12 months and thereafter annually.ResultsIn 29/29 cases we obtained an immediate exclusion. Two patient died for other reasons. Complication rate was 27.6% (7 spleen ischemia and 1 stent-graft occlusion). During the follow-up (range: 7 days–36 months, mean 18.7 months), we observed 3/29 (10.3%) cases of reperfusion in the first month, all treated successfully with a further endovascular procedure. Primary technical success was 89.7%; secondary technical success was 100%.ConclusionEndovascular therapy can be considered a feasible and effective approach for VAAs with good primary and secondary success rates.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Radiology - Volume 59, Issue 1, July 2006, Pages 104–111
نویسندگان
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