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 SS  Vol.2 No.5 , July 2011
Endovascular embolisation of Giant Ruptured Proximal Splenic Arterial Pseudoaneurysm Using Microcoils & Glue: Case Report
Abstract: Splenic artery aneurysms (SAA) are third most common intra-abdominal aneurysm (after aneurysms of the abdominal aorta and iliac arteries). A splenic artery aneurysm larger than 3 cm is even rare. Splenic artery aneurysms are fatal vascular lesions if ruptured. The incidence of rupture is increased in larger aneurysms. Transcatheter arterial embolization is an alternative method of treatment in a patient with splenic arterial aneurysm which has relative lower morbidity and mortality than surgical procedures. Here, we report a case of giant ruptured proximal splenic artery pseudoaneurysm detected by contrast enhanced computed tomography (CECT) & referred to Interventional Radiology for Transcatheter arterial embolisation.
Cite this paper: nullJ. Rathod, K. Taori, S. Dhomne, P. Pawar, D. Vaghasiya, A. Disawal, A. Guha, K. Naiknavare, R. Agale and P. Gour, "Endovascular embolisation of Giant Ruptured Proximal Splenic Arterial Pseudoaneurysm Using Microcoils & Glue: Case Report," Surgical Science, Vol. 2 No. 5, 2011, pp. 290-293. doi: 10.4236/ss.2011.25062.
References

[1]   J. M. Graham, C. H. McCollum and M. E. DeBakey, “Aneurysm of the Splanchnic Arteries,” The American Journal of Surgery, Vol. 140, No. 6, 1980, pp. 797-801. doi:10.1016/0002-9610(80)90120-8

[2]   M. Negita, H. Suenega, Y. Suzuki, et al, “A Case Report Ofaneurysm in the Root of Splenic Artery of the Sple- no-mesenteric Type Treated with Reanastomosis,” Nippon Geka Gakkai Zasshi, Vol. 93, No. 3, 1992, pp. 332-335.

[3]   P. G. Settembrini, J. M. Jausseran, S. Roveri, et al, “Aneurysms of Anomalous Splenomesenteric Trunk: Clinical Features and Surgical Management in Two Cas-es,” Journal of Vascular Surgery, Vol. 24, No. 4, 1996, pp. 687- 692. doi:10.1016/S0741-5214(96)70085-X

[4]   D. M. Rogers, J. E. Thompson, W. V. Garrett, C. M. Tal-kington and R. D. Patman, “Mesenteric Vascular Problems: A 26-Year Experience,” Annals of Surgery, Vol. 195, No. 5, 1982, pp. 554-565. doi:10.1097/00000658-198205000-00004

[5]   V. F. Trastek, P. C. Pairolero, J. W. Joyce, L. H. Hollier and P. E. Bernatz, “Splenic Artery Aneurysms,” Surgery, Vol. 91, 1982, pp. 694-699.

[6]   M. A. Abbas, W. M. Stone, R. J. Fowl, et al, “Splenic artery aneurysms: Two decades experience at Mayo cli- nic,” Annals of Vascular Surgery, Vol. 16, 2002, pp. 442- 449. doi:10.1007/s10016-001-0207-4

[7]   K. S. Baker, J. Tisnado, S. R. Cho and M. C. Beachley, “Splanchnic Artery Aneurysms and Pseudoaneurysms: Transcatheter Embolization,” Radiology, Vol. 163, No. 1, 1987, pp. 135-139.

[8]   D. C. Madoff, A. Denys, M. J. Wallace, et al, “Splenic Arterial Interventions: Anatomy, Indications, Technical Considerations, and Potential Complications,” Radio-graphics, Vol. 25, 2005, pp. S191-S211. doi:10.1148/rg.25si055504

[9]   D. J. Tessier, W. M. Stone, R. J. Fowl, et al, “Clinical Features and Management of Splenic Artery Pseudoa-neurysm: Case Series and Cumulative Review of Litera-ture,” Journal of Vascular Surgery, Vol. 38, No. 5, 2003, pp. 969-974. doi:10.1016/S0741-5214(03)00710-9

[10]   Z. C. Schmittling and R. McLafferty, “Transcatheter Embolization of a Splenic Artery Aneurysm,” Journal of Vascular Surgery, Vol. 40, No. 5, 2004, p. 1049. doi:10.1016/j.jvs.2003.12.003

[11]   M. Sato, I. Anno, M. Yamaguchi, H. Iida and K. Orii, “Splenic Artery Aneurysm of the Anomalous Splenome-senteric Trunk: Successful Treatment by Transcatheter Embolization Using Detachable Coils,” Cardiovascular and Interventional Radiology, Vol. 29, No. 3, 2005, pp. 432-434. doi:10.1007/s00270-005-0036-x

[12]   C. D. Long, K. R. Bakshi, M. B. Kahn and A. B. Roberts, “Giant Splenic Artery Aneurysm,” Annals of Vascular Surgery, Vol. 7, No. 5, 1993, pp. 474-478. doi:10.1007/BF02002133

[13]   A. Ayalon, R. H. Wiesner, J. D. Perkins, S. Tominaga, D. H. Hayes and R. A. Krom, “Splenic Artery Aneurysms in Liver Transplant Patients,” Transplantation, Vol. 45, 1988, pp. 386-389. doi:10.1097/00007890-198802000-00028

[14]   J. Golzarian, N. Nicaise, J. Deviere, et al, “Transcatheter Embolization of Pseudoaneurysms Complicating Pan-creatitis,” Cardiovascular and Interventional Radiology, Vol. 20, No. 6, 1997, pp. 435-440. doi:10.1007/s002709900189

[15]   R. W. Bailey, T. S. Riles, R. J. Rosen and L. P. Sullivan, “Celiomesenteric Anomaly and Aneurysm: Clinical and Etiologic Features,” Journal of Vascular Surgery, Vol. 14, 1991, pp. 229-234. doi:10.1067/mva.1991.28728

[16]   V. G. McDermott, R. Shlansky-Goldberg and C. Cope, “Endovascular Management of Splenic Artery Aneurysms and Pseudoaneurysms,” Cardiovascular and In-terventional Radiology, Vol. 17, No. 4, 1994, pp. 179-184. doi:10.1007/BF00571531

[17]   R. Guillon, J. M. Garcier and A. Abergel, et al, “Man-agement of Splenic Artery Aneurysms and False Aneu-rysms with Endovascular Treatment in 12 Patients,” Car-diovascular and Interventional Radiology, Vol. 26, No. 3, 2003, pp. 256-260. doi:10.1007/s00270-003-1948-y

[18]   A. Arepally, M. Dagli, L. V. Hofmann, H. S. Kim, M. Cooper and A. Klein, “Treatment of Splenic Artery Aneurysm with Use of a Stent-Graft,” Journal of Vascular and Interventional Radiology, Vol. 13, 2002, pp. 631-633. doi:10.1016/S1051-0443(07)61659-5

[19]   E. N. Brountzos, K. Vagenas, S. C. Apostolopoulou, I. Panagiotou, D. Lymberopoulou and D. A. Kelekis, “Pan-creatitis-Associated Splenic Artery Pseudoaneurysm: Endovascular Treatment with Self-Expandable Stentgrafts,” Cardiovascular and Interventional Radiology, Vol. 26, No. 1, 2003, pp. 88-91. doi:10.1007/s00270-002-1979-9

 
 
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