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Does Endovascular Repair Reduce the Risk of Rupture Compared to Open Repair in Splanchnic Artery Aneurysms?

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Difficult Decisions in Vascular Surgery

Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY))

Abstract

Aneurysms of the splanchnic circulation (VAA-visceral artery aneurysm) carry an especially high mortality with rupture. Repair of VAA requires a precise understanding of the collateral circulation and determination of whether maintenance of patency is required to prevent end organ ischemia. In elective cases of VAA repair, both open and endovascular techniques confer excellent results with limited mortality; the latter being mostly employed for ablative therapies. The main determinants of modality will be the need to maintain perfusion of the end organ and the complicating factors to surgical exposure. In cases where ablative aneurysm treatment is planned regardless of modality, endovascular repair is an appropriate first step. In cases requiring maintenance of in-line flow to the parent artery or when persistent aneurysm flow would result in ongoing bleeding, open surgery remains the most appropriate option.

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References

  1. Ferrero E, Ferri M, Viazzo A, Robaldo A, Carbonatto P, Pecchio A, Chiecchio A, Nessi F. Visceral artery aneurysms, an experience on 32 cases in a single center: treatment from surgery to multilayer stent. Ann Vasc Surg. 2011;25(7):923–35. doi:10.1016/j.avsg.2011.04.006. Epub 2011 Aug 10.

    Article  PubMed  Google Scholar 

  2. Fankhauser GT, Stone WM, Naidu SG, Oderich GS, Ricotta JJ, Bjarnason H, Money SR, Mayo Vascular Research Center Consortium. The minimally invasive management of visceral artery aneurysms and pseudoaneurysms. J Vasc Surg. 2011;53(4):966–70. doi:10.1016/j.jvs.2010.10.071. Epub 2011 Jan 8.

    Article  PubMed  Google Scholar 

  3. Tulsyan N, Kashyap VS, Greenberg RK, Sarac TP, Clair DG, Pierce G, Ouriel K. The endovascular management of visceral artery aneurysms and pseudoaneurysms. J Vasc Surg. 2007;45(2):276–83; discussion 283.

    Article  PubMed  Google Scholar 

  4. Pulli R, Dorigo W, Troisi N, Pratesi G, Innocenti AA, Pratesi C. Surgical treatment of visceral artery aneurysms: a 25-year experience. J Vasc Surg. 2008;48(2):334–42. doi:10.1016/j.jvs.2008.03.043.

    Article  PubMed  Google Scholar 

  5. Rockman CB, Maldonado TS. Splanchnic artery aneurysms. In: Cronenwett JL, Johnston KW, editors. Rutherford’s vascular surgery. 7th ed. Philadelphia: Saunders Elsevier; 2010.

    Google Scholar 

  6. Marone EM, Mascia D, Kahlberg A, Brioschi C, Tshomba Y, Chiesa R. Is open repair still the gold standard in visceral artery aneurysm management? Ann Vasc Surg. 2011;25(7):936–46. doi:10.1016/j.avsg.2011.03.006. Epub 2011 May 28.

    Article  PubMed  Google Scholar 

  7. Hossain A, Reis ED, Dave SP, Kerstein MD, Hollier LH. Visceral artery aneurysms: experience in a tertiary-care center. Am Surg. 2001;67(5):432–7.

    CAS  PubMed  Google Scholar 

  8. Carr SC, Pearce WH, Vogelzang RL, McCarthy WJ, Nemcek Jr AA, Yao JS. Current management of visceral artery aneurysms. Surgery. 1996;120(4):627–33; discussion 633–4.

    Article  CAS  PubMed  Google Scholar 

  9. Carmeci C, McClenathan J. Visceral artery aneurysms as seen in a community hospital. Am J Surg. 2000;179(6):486–9.

    Article  CAS  PubMed  Google Scholar 

  10. Panayiotopoulos YP, Assadourian R, Taylor PR. Aneurysms of the visceral and renal arteries. Ann R Coll Surg Engl. 1996;78(5):412–9. PubMed PMID: 8881722, PubMed Central PMCID: PMC2502914, Review.

    CAS  PubMed  PubMed Central  Google Scholar 

  11. Stanley JC, Fry WJ. Pathogenesis and clinical significance of splenic artery aneurysms. Surgery. 1974;76(6):898–909.

    CAS  PubMed  Google Scholar 

  12. Lakin RO, Kashyap VS. Chapter 141: Splanchnic artery aneurysms. In: Cronenwett JL, Johnston KW, editors. Rutherford’s vascular surgery. 8th ed. Philadelphia: Saunders Elsevier; 2014.

    Google Scholar 

  13. Shanley CJ, Shah NL, Messina LM. Uncommon splanchnic artery aneurysms: pancreaticoduodenal, gastroduodenal, superior mesenteric, inferior mesenteric, and colic. Ann Vasc Surg. 1996;10(5):506–15. Review.

    Article  CAS  PubMed  Google Scholar 

  14. Berceli SA. Hepatic and splenic artery aneurysms. Semin Vasc Surg. 2005;18(4):196–201. Review.

    Article  PubMed  Google Scholar 

  15. Holdsworth RJ, Gunn A. Ruptured splenic artery aneurysm in pregnancy. A review. Br J Obstet Gynaecol. 1992;99(7):595–7. Review.

    Article  CAS  PubMed  Google Scholar 

  16. Barrett JM, Van Hooydonk JE, Boehm FH. Pregnancy-related rupture of arterial aneurysms. Obstet Gynecol Surv. 1982;37(9):557–66. Review.

    Article  CAS  PubMed  Google Scholar 

  17. Asthana S, Toso C, McCarthy M, Shapiro AM. The management of splenic artery aneurysm in patients awaiting liver transplantation. Clin Transplant. 2010;24(5):691–4. doi:10.1111/j.1399-0012.2009.01192.x.

    Article  CAS  PubMed  Google Scholar 

  18. Abbas MA, Stone WM, Fowl RJ, Gloviczki P, Oldenburg WA, Pairolero PC, Hallett JW, Bower TC, Panneton JM, Cherry KJ. Splenic artery aneurysms: two decades experience at Mayo clinic. Ann Vasc Surg. 2002;16(4):442–9. Epub 2002 Jul 1.

    Article  PubMed  Google Scholar 

  19. Tessier DJ, Fowl RJ, Stone WM, McKusick MA, Abbas MA, Sarr MG, Nagorney DM, Cherry KJ, Gloviczki P. Iatrogenic hepatic artery pseudoaneurysms: an uncommon complication after hepatic, biliary, and pancreatic procedures. Ann Vasc Surg. 2003;17(6):663–9. Epub 2003 Oct 23.

    Article  PubMed  Google Scholar 

  20. Stanley JC, Wakefield TW, Graham LM, Whitehouse Jr WM, Zelenock GB, Lindenauer SM. Clinical importance and management of splanchnic artery aneurysms. J Vasc Surg. 1986;3(5):836–40.

    Article  CAS  PubMed  Google Scholar 

  21. Wagner WH, Allins AD, Treiman RL, Cohen JL, Foran RF, Levin PM, Cossman DV. Ruptured visceral artery aneurysms. Ann Vasc Surg. 1997;11(4):342–7.

    Article  CAS  PubMed  Google Scholar 

  22. Carr SC, Mahvi DM, Hoch JR, Archer CW, Turnipseed WD. Visceral artery aneurysm rupture. J Vasc Surg. 2001;33(4):806–11.

    Article  CAS  PubMed  Google Scholar 

  23. Sessa C, Tinelli G, Porcu P, Aubert A, Thony F, Magne JL. Treatment of visceral artery aneurysms: description of a retrospective series of 42 aneurysms in 34 patients. Ann Vasc Surg. 2004;18(6):695–703.

    Article  PubMed  Google Scholar 

  24. Ghariani MZ, Georg Y, Ramirez C, Lebied E, Gaudric J, Chiche L, Kieffer E, Koskas F. Long-term results of surgical treatment of aneurysms of digestive arteries. Ann Vasc Surg. 2013;27(7):954–8. doi:10.1016/j.avsg.2013.02.007.

    Article  PubMed  Google Scholar 

  25. Sachdev U, Baril DT, Ellozy SH, Lookstein RA, Silverberg D, Jacobs TS, Carroccio A, Teodorescu VJ, Marin ML. Management of aneurysms involving branches of the celiac and superior mesenteric arteries: a comparison of surgical and endovascular therapy. J Vasc Surg. 2006;44(4):718–24.

    Article  PubMed  Google Scholar 

  26. Mazzaccaro D, Carmo M, Nano G, Barbetta I, Settembrini AM, Occhiuto MT, Stegher S, Dallatana R, Malacrida G, Settembrini PG. Treatment options for visceral artery aneurysms: ten year experience. J Cardiovasc Surg (Torino). 2015;56(3):423–32. Epub 2013 Jul 18.

    CAS  Google Scholar 

  27. Sachdev-Ost U. Visceral artery aneurysms: review of current management options. Mt Sinai J Med. 2010;77(3):296–303. doi:10.1002/msj.20181. Review.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Vascular Surgery and Endovascular Therapy, University of Alabama-Birmingham, Birmingham, AL, USA

    Benjamin J. Pearce MD, FACS

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  1. Benjamin J. Pearce MD, FACS
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Correspondence to Benjamin J. Pearce MD, FACS .

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Editors and Affiliations

  1. The University of Chicago Medical Center and Biological Science Division, Chicago, Illinois, USA

    Christopher L. Skelly

  2. The University of Chicago Medical Center and Biological Science Division, Chicago, Illinois, USA

    Ross Milner

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Pearce, B.J. (2017). Does Endovascular Repair Reduce the Risk of Rupture Compared to Open Repair in Splanchnic Artery Aneurysms?. In: Skelly, C., Milner, R. (eds) Difficult Decisions in Vascular Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-319-33293-2_25

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  • DOI: https://doi.org/10.1007/978-3-319-33293-2_25

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-33291-8

  • Online ISBN: 978-3-319-33293-2

  • eBook Packages: MedicineMedicine (R0)

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