Transcatheter Arterial Embolization of Splenic Artery Aneurysms: A Single-Center Experience
Vascular Specialist International
;
: 120-124, 2014.
Article
Dans Anglais
| WPRIM
| ID: wpr-106549
ABSTRACT
PURPOSE:
The purpose of this study was to report on splenic artery aneurysms (SAAs) treated by transcatheter embolization in our single-center institution and to evaluate the clinical outcomes of patients with SAA by aneurysm location. MATERIALS ANDMETHODS:
The original medical records and imaging results of 52 patients with SAA treated in our center between January 1, 1995 and December 31, 2013 were reviewed. Of these cases, 7 patients (13.5%) underwent surgery, 4 patients (7.5%) underwent serial observation, and 1 patient had stent insertion only, leaving 40 patients (78.9%) who underwent endovascular treatment using a coil, with or without N-butyl-2-cyanoacrylate.RESULTS:
Aneurysms were located in the distal third of the splenic artery in 27 patients (67.5%), in the middle third in 9 cases (22.5%), and in the proximal third in 4 cases (10%). Of the 40 included patients, 25 were female (62.5%). Twenty-eight patients (70%) were asymptomatic. The mean aneurysm diameter was 2.48 cm (range, 0.8-6.0 cm). Complications involved pancreatitis (n=1) and early spleen infarction (n=29 2/3 in 5). Postembolization syndrome was noted in 26 patients (65%). There were no significant differences by aneurysm location in the postoperative increase in the values of white blood cells, amylase, lipase, and C-reactive protein (P=0.067, P=0.881, P=0.891, and P=0.188, respectively).CONCLUSION:
At our institution, endovascular management is safe, has high technical success, and represents the first-line treatment for SAA, regardless of aneurysm location.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Pancréatite
/
Rate
/
Artère splénique
/
Protéine C-réactive
/
Endoprothèses
/
Dossiers médicaux
/
Embolisation thérapeutique
/
Enbucrilate
/
Amylases
/
Infarctus
Limites du sujet:
Femelle
/
Humains
langue:
Anglais
Texte intégral:
Vascular Specialist International
Année:
2014
Type:
Article
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