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Updates in the Management of Non-traumatic Abdominal Vascular Emergencies (Abdominal Aortoiliac Aneurysms, Intestinal Ischemia, Splanchnic Aneurysms)

  • P. Tracanelli
  • M. T. Occhiuto
  • R. Vercelli
  • A. Rampoldi
  • F. RomaniEmail author
Chapter

Abstract

Aortoiliac aneurysm, splanchnic aneurysms, and intestinal ischemia are potentially life-threatening conditions. Every year in Europe, 220,000 people received a diagnosis of nominal abdominal aortic aneurysm; splanchnic aneurysms and intestinal ischemia are rarer conditions.

Aneurysms, in general, are asymptomatic till the time of their rupture, while acute mesenteric ischemia is characterized by peculiar symptoms that can be absent in 20–25% of patients.

CT scan is the exam of choice for all these three conditions and allows to get a prompt diagnosis. Treatment in emergency is mandatory; historically open surgery was the only choice for patients affected by these dangerous diseases, with a high rate of mortality and complications. The endovascular revolution has introduced many different techniques less invasive, with a high rate of clinical and surgical success, able in some cases to substitute completely or partially (hybrid procedures) the open ones.

Keywords

Aortoiliac aneurysm Visceral aneurysms Intestinal ischemia Rupture 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • P. Tracanelli
    • 1
  • M. T. Occhiuto
    • 1
  • R. Vercelli
    • 2
  • A. Rampoldi
    • 2
  • F. Romani
    • 1
    Email author
  1. 1.Vascular Surgery Division, CardioToracoVascular DepartmentNiguarda HospitalMilanItaly
  2. 2.Interventional Radiology UnitNiguarda HospitalMilanItaly

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