Interdisciplinary Management of Visceral Artery Aneurysms and Visceral Artery Pseudoaneurysms
The paper presents the results of treating 14 patients, namely eight patients with visceral artery aneurysms and six patients with visceral artery pseudoaneurysms. In 64.3% of the patients, the initial diagnosis was made based on the ultrasound examination. All the patients (100%) underwent CT angio...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Karolinum Press
2020-01-01
|
Series: | Acta Medica |
Subjects: | |
Online Access: | https://actamedica.lfhk.cuni.cz/63/1/0043/ |
id |
doaj-d65282b7cc294887bfbdf8a6ec71030c |
---|---|
record_format |
Article |
spelling |
doaj-d65282b7cc294887bfbdf8a6ec71030c2020-11-25T03:02:18ZengKarolinum PressActa Medica1211-42861805-96942020-01-01631434810.14712/18059694.2020.14Interdisciplinary Management of Visceral Artery Aneurysms and Visceral Artery PseudoaneurysmsPeter Berek0Ivan Kopolovets1Csaba Dzsinich2Juraj Bober3Peter Štefanič4Vladimír Sihotský5Clinic of Vascular Surgery, East Slovak Institute of Cardiovascular Diseases, Faculty of Medicine, Pavol Jozef Šafárik University, Košice, Slovak RepublicClinic of Vascular Surgery, East Slovak Institute of Cardiovascular Diseases, Faculty of Medicine, Pavol Jozef Šafárik University, Košice, Slovak Republic; Uzhhorod National University, Medical Faculty, Department of Surgical Diseases, Uzhhorod, UkraineDepartment of Cardiovascular and Thoracic Surgery at the National Institute of Health of Hungary, Budapest1st Department of Surgery, Pavol Jozef Šafárik University, Faculty of Medicine, Košice, Slovak RepublicClinic of Vascular Surgery, East Slovak Institute of Cardiovascular Diseases, Faculty of Medicine, Pavol Jozef Šafárik University, Košice, Slovak RepublicClinic of Vascular Surgery, East Slovak Institute of Cardiovascular Diseases, Faculty of Medicine, Pavol Jozef Šafárik University, Košice, Slovak RepublicThe paper presents the results of treating 14 patients, namely eight patients with visceral artery aneurysms and six patients with visceral artery pseudoaneurysms. In 64.3% of the patients, the initial diagnosis was made based on the ultrasound examination. All the patients (100%) underwent CT angiography, while angiography was performed in 71.4% of the cases. Five (35.7%) patients with visceral artery pseudoaneurysms were emergently hospitalized; among them, the signs of bleeding were observed in 2 patients. In 9 patients, pathology was detected during tests for other conditions. Five (35.7%) patients underwent endovascular treatment, while 9 (64.3%) patients received surgical treatment. Endovascular interventions and open surgery demonstrated a nil mortality rate. After endovascular treatment, stent thrombosis was found in 1 patient. In the case of surgical treatment, visceral artery aneurysm was observed in 1 patient who underwent the resection of superior mesenteric artery pseudoaneurysm. Conclusions. The choice of the method of treating visceral artery aneurysms and visceral artery pseudoaneurysms depends on the location, size, anatomic features of the visceral arteries and the clinical course of the disease. Both endovascular and surgical treatment demonstrate good postoperative outcomes. Visceral ischemia is one of the most serious complications in the postoperative period, which can complicate both the diagnosis and the choice of treatment tactics.https://actamedica.lfhk.cuni.cz/63/1/0043/visceral artery pseudoaneurysmvisceral artery aneurysmsrupture riskhemorrhagevisceral ischemia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Peter Berek Ivan Kopolovets Csaba Dzsinich Juraj Bober Peter Štefanič Vladimír Sihotský |
spellingShingle |
Peter Berek Ivan Kopolovets Csaba Dzsinich Juraj Bober Peter Štefanič Vladimír Sihotský Interdisciplinary Management of Visceral Artery Aneurysms and Visceral Artery Pseudoaneurysms Acta Medica visceral artery pseudoaneurysm visceral artery aneurysms rupture risk hemorrhage visceral ischemia |
author_facet |
Peter Berek Ivan Kopolovets Csaba Dzsinich Juraj Bober Peter Štefanič Vladimír Sihotský |
author_sort |
Peter Berek |
title |
Interdisciplinary Management of Visceral Artery Aneurysms and Visceral Artery Pseudoaneurysms |
title_short |
Interdisciplinary Management of Visceral Artery Aneurysms and Visceral Artery Pseudoaneurysms |
title_full |
Interdisciplinary Management of Visceral Artery Aneurysms and Visceral Artery Pseudoaneurysms |
title_fullStr |
Interdisciplinary Management of Visceral Artery Aneurysms and Visceral Artery Pseudoaneurysms |
title_full_unstemmed |
Interdisciplinary Management of Visceral Artery Aneurysms and Visceral Artery Pseudoaneurysms |
title_sort |
interdisciplinary management of visceral artery aneurysms and visceral artery pseudoaneurysms |
publisher |
Karolinum Press |
series |
Acta Medica |
issn |
1211-4286 1805-9694 |
publishDate |
2020-01-01 |
description |
The paper presents the results of treating 14 patients, namely eight patients with visceral artery aneurysms and six patients with visceral artery pseudoaneurysms. In 64.3% of the patients, the initial diagnosis was made based on the ultrasound examination. All the patients (100%) underwent CT angiography, while angiography was performed in 71.4% of the cases. Five (35.7%) patients with visceral artery pseudoaneurysms were emergently hospitalized; among them, the signs of bleeding were observed in 2 patients. In 9 patients, pathology was detected during tests for other conditions. Five (35.7%) patients underwent endovascular treatment, while 9 (64.3%) patients received surgical treatment. Endovascular interventions and open surgery demonstrated a nil mortality rate. After endovascular treatment, stent thrombosis was found in 1 patient. In the case of surgical treatment, visceral artery aneurysm was observed in 1 patient who underwent the resection of superior mesenteric artery pseudoaneurysm. Conclusions. The choice of the method of treating visceral artery aneurysms and visceral artery pseudoaneurysms depends on the location, size, anatomic features of the visceral arteries and the clinical course of the disease. Both endovascular and surgical treatment demonstrate good postoperative outcomes. Visceral ischemia is one of the most serious complications in the postoperative period, which can complicate both the diagnosis and the choice of treatment tactics. |
topic |
visceral artery pseudoaneurysm visceral artery aneurysms rupture risk hemorrhage visceral ischemia |
url |
https://actamedica.lfhk.cuni.cz/63/1/0043/ |
work_keys_str_mv |
AT peterberek interdisciplinarymanagementofvisceralarteryaneurysmsandvisceralarterypseudoaneurysms AT ivankopolovets interdisciplinarymanagementofvisceralarteryaneurysmsandvisceralarterypseudoaneurysms AT csabadzsinich interdisciplinarymanagementofvisceralarteryaneurysmsandvisceralarterypseudoaneurysms AT jurajbober interdisciplinarymanagementofvisceralarteryaneurysmsandvisceralarterypseudoaneurysms AT peterstefanic interdisciplinarymanagementofvisceralarteryaneurysmsandvisceralarterypseudoaneurysms AT vladimirsihotsky interdisciplinarymanagementofvisceralarteryaneurysmsandvisceralarterypseudoaneurysms |
_version_ |
1724690279370326016 |