14.5 Conclusion
This chapter has focussed on endovascular treatment for a variety of aneurysms. Visceral and isolated iliac aneurysms are relatively uncommon, but with the exception of common iliac aneurysms they can be very challenging to treat by open surgical methods. Although their incidence makes it highly unlikely that firm evidence will ever be available from randomised studies, it is clear that a variety of endovascular therapies are now available which provide successful treatment, at least in the medium term, whilst avoiding the potential complications of difficult surgery. The use of ultrasound compression and more recently percutaneous thrombin injection has been a revolution in the management of femoral, and other, false aneurysms occurring after catheterisation, so that few of these patients now need to be managed with open surgery.
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References
Abbas MA, Stone WM, Fowl RJ et al (2002) Splenic artery aneurysms: two decades experience at the Mayo clinic. Ann Vasc Surg 16:442–449
Appel N, Duncan JR, Schuerer DJ (2003) Percutaneous stent-graft treatment of superior mesenteric and internal iliac artery pseudoaneurysms. J Vasc Interv Radiol 14:917–922
Arepally A, Dagli M, Hofmann LV et al (2002) Treatment of splenic artery aneurysm with use of a stent-graft. J Vasc Interv Radiol 13:631–633
Bruce M, Yew-Ming K (2002) Endoluminal stent-graft repair of a renal artery aneurysm. J Endovasc Ther 9:359–362
Brunkwall J, Hauksson H, Bengtsson H et al (1989) Solitary aneurysms of the iliac arterial system: an estimate of their frequency of occurrence. J Vasc Surg 10:381–384
Calligaro KD, Dougherty MJ (2000) Renal artery aneurysms and arteriovenous fistulae. In Rutherford R (ed) Rutherford’s Textbook of Vascular Surgery, 5th edn. WB Saunders, Philadelphia, pp 1697–1706
Centenera LV, Hirsch JA, Choi S et al (1998) Wide-necked saccular renal artery aneurysm: endovascular embolization with the Guglielmi detachable coil and temporary balloon occlusion of the aneurysm neck. J Vasc Interv Radiol 9:513–516
Dosluoglu HH, Dryjski ML, Harris LM (1999) Isolated iliac artery aneurysms in patients with or without previous abdominal aortic aneurysm repair. Am J Surg 178:129–132
Fahrni M, Lachat MM, Wildermuth S et al (2003) Endovascular therapeutic options for isolated iliac aneurysms with a working classification. Cardiovasc Intervent Radiol 26:443–447
Gabelmann A, Gorich J, Merkle EM (2002) Endovascular treatment of visceral artery aneurysms. J Endovasc Ther 9:38–47
Gandini R, Pipitone V, Konda D et al (2005) Endovascular treatment of a giant superior mesenteric artery pseudoaneurysm using a nitinol stent-graft. Cardiovasc Intervent Radiol 28:102–106
Grego FG, Lepidi S, Ragazzi R et al (2003) Visceral artery aneurysms: a single center experience. Cardiovascular Surgery 11:19–25
Guillon R, Garcier JM, Abergel A et al (2003) Management of splenic artery aneurysms and false aneurysms with endovascular treatment in twelve cases. Cardiovasc Intervent Radiol 26:256–260
Heestand G, Sher L, Lightfoote J et al (2003) Characteristics and management of splenic artery aneurysm in liver transplant candidates and recipients. Am Surg 69:933–940
Henke PK, Stanley JC (2003) Renal artery aneurysms: diagnosis, management and outcomes. Minerva Chir 58:305–311
Ishimaru H, Murakami T, Matsuoka Y et al (2004) N-butyl 2-cyanoacrylate injection via pancreatic collaterals to occlude splenic artery distal to large splenic aneurysm after proximal coil embolization. AJR Am J Roentgenol 182:213–215
Kemmeter P, Bonnell B, Vander Kolk W et al (2000) Percutaneous thrombin injection of splanchnic artery aneurysms: two case reports. J Vasc Interv Radiol 11:469–72
Kim BS, Do HM, Razavi M (2004) N-butyl cyanoacrylate glue embolization of splenic artery aneurysms. J Vasc Interv Radiol 15:91–94
Klein GE, Szolar DH, Breinl E et al (1997) Endovascular treatment of renal artery aneurysms with conventional nondetachable microcoils and Guglielmi detachable coils. Br J Urol 79:852–860
Larson RA, Solomon J, Carpenter JP (2002) Stent graft repair of visceral artery aneurysms. J Vasc Surg 36:1260–1263
Lupattelli T, Abubacker Z, Morgan R et al (2003) Embolization of a renal artery aneurysm using ethylene vinyl alcohol copolymer (Onyx). J Endovasc Ther 10:366–370
Manazer JR, Monzon JR, Dietz PA et al (2003) Treatment of pancreatic pseudoaneurysm with percutaneous transabdominal thrombin injection. J Vasc Surg 38:600–602
Matsumoto K, Matsubara K, Watada S et al (2004) Surgical and endovascular procedures for treating isolated iliac artery aneurysms: ten-year experience. World J Surg 2004 28:797–800
McCready RA, Pairolero PC, Gilmore JC et al (1983) Isolated iliac artery aneurysms. Surgery 93:688–693
Messina LM, Shanley CJ (1997) Visceral artery aneurysms. Surg Clin NA 77:425–442
Morgan R, Belli A-M (2003) Current treatment methods for postcatheterization pseudoaneurysms. J Vasc Interv Radiol 14:697–710
Mounayer C, Aymard A, Saint-Maurice JP et al (2000) Balloon-assisted coil embolization for large-necked renal artery aneurysms. Cardiovasc Intervent Radiol 23:228–230
Nakajima T, Kawazoe K, Komoda K et al (2001) Failure of exclusion of internal iliac artery aneurysms. J Vasc Surg 33:476–480
Owens CA, Yaghmai B, Aletich V et al (2002) Coil embolization of a wide-neck splenic artery aneurysm using a remodeling technique. AJR Am J Roentgenol 179:1327–1329
Panayiatopoulos YP, Assadourian R, Taylor PR (1996) Aneurysms of the visceral and renal arteries. Ann R Coll Surg Engl 78:412–419
Parry DJ, Kessel D, Scott DJ (2001) Simplifying the internal iliac artery aneurysm. Ann R Coll Surg Engl 83:302–308
Parsons RE, Marin ML, Veith FJ et al (1999) Midterm results of endovascular stented grafts for the treatment of isolated iliac artery aneurysms. J Vasc Surg 30:915–921
Pilleul F, Dugougeat F (2002) Transcatheter embolization of splanchnic aneurysms/pseudoaneurysms: early imaging allows detection of incomplete procedure. J Comput Assist Tomogr 26:107–112
Pilleul F, Beuf O (2004) Diagnosis of splanchnic artery aneurysms and pseudoaneurysms with special reference to contrast enhanced 3D magnetic resonance angiography: a review. Acta Radiol 45:702–708
Richardson JW, Greenfield LJ (1988) Natural history and management of iliac aneurysms. J Vasc Surg 8:165–171
Rikimaru H, Sato A, Hashizume E et al (2001) Saccular renal artery aneurysm treated with an autologous vein-covered stent. Saccular renal artery aneurysm treated with an autologous vein-covered stent. J Vasc Surg 34:169–171
Sahgal A, Veith FJ, Lipsitz E et al (2001) Diameter changes in isolated iliac artery aneurysms 1 to 6 years after endovascular graft repair. J Vasc Surg 33:289–284
Santilli SM, Wernsing SE, Lee ES (2000) Expansion rates and outcomes for iliac artery aneurysms. J Vasc Surg 31(1 Pt 1):114–21
Schick C, Ritter RG, Balzer JO, Thalhammer A, Vogl TJ (2004) Hepatic artery aneurysms: treatment options. Eur Radiol 14:157–159
Schneidereit NP, Lee S, Morris DC, Chen JC (2003) Endovascular repair of a ruptured renal artery aneurysm. J Endovasc Ther 10:71–74
Sessa C, Tinelli G, Porcu P, Aubert A, Thony F, Magne JL (2004) Treatment of visceral artery aneurysms: description of a retrospective series of 42 aneurysms in 34 patients. Ann Vasc Surg 18:695–703
Shanley CJ, Shah NL, Messina LM (1996a) Common splanchnic artery aneurysms: splenic, hepatic and coeliac. Ann Vasc Surg 10:315–322
Shanley CJ, Shah NL, Messina LM (1996b) Uncommon splanchnic artery aneurysms: pancreatico-duodenal, gastroduodenal, superior mesenteric, inferior mesenteric and colic. Ann Vasc Surg 10:506–515
Sparrow P, Asquith J, Chalmers N (2003) Ultrasonic-guided percutaneous injection of pancreatic pseudoaneurysm with thrombin. Cardiovasc Intervent Radiol 26:312–315
Venturini M, Angeli E, Salvioni M, De Cobelli F, Trentin C, Carlucci M, Staudacher C, Del Maschio A (2002) Hemorrhage from a right hepatic artery pseudoaneurysm: endovascular treatment with a coronary stent-graft. J Endovasc Ther 9:221–224
Weber CH, Pfeifer KJ, Tato F, Reiser M, Rieger J (2005) Transcatheter coil embolisation of an aneurysm of the pancreatico-duodenal artery with occluded celiac trunk. Cardiovasc Intervent Radiol 28:259–261
Yoon HK, Lindh M, Uher P, Linblad B, Ivancev K (2001) Stent-graft repair of a splenic artery aneurysm. Cardiovasc Intervent Radiol 24:200–203
Zelenock GB (2000) Splanchnic artery aneurysms. In: Rutherford R (ed) Rutherford’s Textbook of Vascular Surgery, 5th edn.. WB Saunders, Philadelphia, pp 1369–1382
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Jackson, R., Rose, J. (2007). Endovascular Repair of Iliac, Visceral and False Aneurysms. In: Cowling, M.G. (eds) Vascular Interventional Radiology. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-33255-8_14
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