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Visceral Artery Aneurysms

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Endovascular Interventions

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Abstract

Visceral artery aneurysms (VAAs), which were once considered uncommon, are now being diagnosed with increasing frequency, a fact that reflects the routine use of computed tomography (CT), magnetic resonance imaging, and ultrasonography. Diagnostic radiology plays a major role in the detection and characterization of VAAs. Cross-sectional imaging can help exclude aneurysm rupture, which requires emergent treatment. CT angiography or catheter angiography can clearly depict the aneurysm and help identify other aortic, visceral, or peripheral aneurysms. Most important, radiologic examination can help determine the adequacy of the collateral blood supply to the vascular bed distal to the aneurysm, information that is essential prior to the initiation of endovascular treatment. Advances in endovascular techniques extend our ability to exclude visceral artery aneurysms with low periprocedural morbidity or mortality.

Coil embolization or covered stent placement can now be used to treat patients with aneurysms whose size or location would make a surgical approach problematic, as well as patients in whom surgery is considered to pose considerable risk.

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Author information

Authors and Affiliations

  1. Interventional Radiology, Adventist Hinsdale Hospital, 911 N. Elm St. Suite 327, Hinsdale, IL, 60521, USA

    George Behrens MD

  2. Department of Cardiovascular Thoracic Surgery, Rush University Medical Center, 1725 W. Harrison St. Suite 1156, Chicago, IL, 60612, USA

    Marshal Goldin MD

  3. Department of Interventional Radiology, NorthShore University Healthsystem, 2650 Ridge Ave, Evanston, IL, 60201, USA

    Hector Ferral MD

Authors
  1. George Behrens MD
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  2. Marshal Goldin MD
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  3. Hector Ferral MD
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Editor information

Editors and Affiliations

  1. Edward Hines, Jr. VA Hospital Loyola University Medical Center, Glen Ellyn, Illinois, USA

    Robert S. Dieter

  2. Northern Illinois Surgery Center, Naperville, Illinois, USA

    Raymond A. Dieter, Jr.

  3. University of Tennessee Medical Center, Knoxville, Tennessee, USA

    Raymond A. Dieter, III

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Behrens, G., Goldin, M., Ferral, H. (2014). Visceral Artery Aneurysms. In: Dieter, R., Dieter, Jr., R., Dieter, III, R. (eds) Endovascular Interventions. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7312-1_40

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  • DOI: https://doi.org/10.1007/978-1-4614-7312-1_40

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  • Print ISBN: 978-1-4614-7311-4

  • Online ISBN: 978-1-4614-7312-1

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