Aim. The purpose of this work was to analyze our experience in the open and endovascular treatment of visceral artery aneurysms (VAAs) in last 15 years. Methods. Between January 1996 and May 2011 we treated 23 VAAs in 21 patients (16 men and 5 women). The location of this disease was: splenic artery in 9 cases (34.6%), hepatic and gastroduodenal artery in 4 cases each (15.4%), celiac trunk in 3 cases (13%), superior mesenteric, inferior mesenteric and pancreatic-duodenal artery in 1 case respectively (4.3%). In 11 cases (47.8%) we performed an open surgical treatment, while in 12 cases (52.2%) an endovascular treatment. Medium follow up was 92 months (range: 3-151). We analyze peri- and postoperative complications and long-term survival. Results. Perioperative and 30-day mortality was 0%. A rupture of the proximal aorta complicated by sepsis occurred after one month in a patient who underwent a aortohepatic bypass due to a celiac trunk aneurysm (9.6%). In the endovascular group we observed 3 complications (25%): one stent thrombosis and two incomplete embolizations of aneurysmal sac. Nowadays only one patient died for causes not related with our treatment. Conclusion. Open and endovascular treatment of VAAs both offer excellent results in terms of long term survival.
Open and endovascular treatment of visceral artery aneurysms: our experience
VARETTO, Gianfranco;CASTAGNO, Claudio;Gibello L.;RISPOLI, Pietro
2012-01-01
Abstract
Aim. The purpose of this work was to analyze our experience in the open and endovascular treatment of visceral artery aneurysms (VAAs) in last 15 years. Methods. Between January 1996 and May 2011 we treated 23 VAAs in 21 patients (16 men and 5 women). The location of this disease was: splenic artery in 9 cases (34.6%), hepatic and gastroduodenal artery in 4 cases each (15.4%), celiac trunk in 3 cases (13%), superior mesenteric, inferior mesenteric and pancreatic-duodenal artery in 1 case respectively (4.3%). In 11 cases (47.8%) we performed an open surgical treatment, while in 12 cases (52.2%) an endovascular treatment. Medium follow up was 92 months (range: 3-151). We analyze peri- and postoperative complications and long-term survival. Results. Perioperative and 30-day mortality was 0%. A rupture of the proximal aorta complicated by sepsis occurred after one month in a patient who underwent a aortohepatic bypass due to a celiac trunk aneurysm (9.6%). In the endovascular group we observed 3 complications (25%): one stent thrombosis and two incomplete embolizations of aneurysmal sac. Nowadays only one patient died for causes not related with our treatment. Conclusion. Open and endovascular treatment of VAAs both offer excellent results in terms of long term survival.
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