Transarterial Embolization of Visceral Artery Aneurysms
A Literature Review and Two Case Reports
DOI:
https://doi.org/10.59667/sjoranm.v4i1.12Keywords:
ileocolic artery pseudoaneurysm, primary surgical hemostasis, micro coil embolizationAbstract
The management of an aneurysm or pseudoaneurysm, including decisions regarding how, when, and with what method it should be treated, must always be determined through interdisciplinary consensus grounded in a thorough understanding of the existing literature. Consequently, today's preferred approach is embolization therapy or covered stenting. This method, performed in a minimally invasive manner, has been well-established due to its methodical low invasiveness and high effectiveness in achieving both technical and clinical success. It stands as a prominent choice among the available surgical and minimally invasive therapy options. The procedure, executed with advanced technology, utilizes the latest catheters and wires, coupled with expertise in various embolization methods. This comprehensive approach enables the treatment of acute bleeding in emergency cases, ensuring a nuanced and effective response (8-12).
References
1. Skalický P, Loveček M, Klos D, Neoral Č, Prášil V, Starý L, et al. Inferior pancreaticoduodenal artery aneurysm rupture as a cause of haemoperitoneum - case report and review of the literature. Rozhl Chir. 2021;100(1):32-36. https://doi.org/10.33699/pis.2021.100.1.32-36
2. Sandstrom A, Jha P. Ruptured Left Gastric Artery Aneurysms: Three Cases Managed Successfully with Open Surgical Repair. Ann Vasc Surg. 2016;36:296.e9-296.e12. https://doi.org/10.1016/j.avsg.2016.04.007
3. Obara H, Kentaro M, Inoue M, Kitagawa Y. Current management strategies for visceral artery aneurysms: an overview. Surg Today. 2020;50(1):38-49. https://doi.org/10.1007/s00595-019-01898-3
4. Borazan E, Yılmaz L, Aytekin A, Gökaslan G, Kervancıoğlu S. A rare case of non-traumatic acute intraabdominal hemorrhage: ruptured superior mesenteric artery aneurysm. Acta Chir Belg. 2018;118(1):64-67. https://doi.org/10.1080/00015458.2017.1302702
5. Siddiqui ZR, Yousif OF, Halliday MW, Hubaishah NA, Adam KA. Ruptured ileocolic artery aneurysm: an unusual cause of hemoperitoneum. Saudi J Gastroenterol. 2012;18(5):342-344. https://doi.org/10.4103/1319-3767.101141
6. Bayraktar A, Gök K, Yanar F, Canbay Torun B, Ertekin C. A rare cause of hemoperitoneum: A case report of ruptured ileocolic artery aneurysm. Ulus Travma Acil Cerrahi Derg. 2017;23(4):351-353. https://doi.org/10.5505/tjtes.2016.08095
7. Pulcini G, D'Adda F, Lanzi S, Giampaoli F, Pouchè A. Aneurysms of the superior mesenteric artery. Ann Ital Chir. 2002;73(2):129-136. https://pubmed.ncbi.nlm.nih.gov/12197285/
8. Nöldge G. Radiological, morphological and pathological changes in the canine small intestine after selective and superselective embolization of the superior mesenteric artery. Habilitation thesis. University Freiburg im Breisgau, Germany; 1984.
9. Nöldge G, Grosser G, Kauffmann GW, Wenz W. Angiographic changes after selective and superselective embolization of branches of superior mesenteric artery in the small bowel of the dog. Hepatogastroenterology. 1982;29(5):209-212. https://pubmed.ncbi.nlm.nih.gov/6983486/
10. Nöldge G, Grosser G, Rückauer K. The reaction of the intestinal mucosa to peripheral arterial occlusion. In: New Directions in Radiology? Papers and lectures at the 1981 annual conference of the Hessian Society for Medicine and Radiology and the Association of Southwest German Radiologists and Nuclear Medicine. Konstanz: Schnetztor Verlag; 1982. p. 108-109.
11. Nöldge G. New microcoil with coaxial administration set for superselective vascular embolization. Rofo. 1983;139(4):408-412. https://doi.org/10.1055/s-2008-1055914
12. Weber CH, Pfeifer KJ, Tato F, Reiser M, Rieger J. Transcatheter coil embolization of an aneurysm of the pancreatico-duodenal artery with occluded celiac trunk. Cardiovasc Intervent Radiol. 2005;28(2):259-261. https://doi.org/10.1007/s00270-004-0116-3
13. Negmadjanov U, Motta JC, De Grandis E, Lee WA. A Hybrid Approach in the Management of a Large Pancreaticoduodenal Artery Aneurysm. Ann Vasc Surg. 2022;79:441.e1-441.e5. https://doi.org/10.1016/j.avsg.2021.07.041
14. Pitcher GS, Cirillo-Penn NC, Mendes BC, Shuja F, DeMartino RR, Kalra M, et al. Aneurysms of the superior mesenteric artery and its branches. J Vasc Surg. 2022;76(1):149-157. https://doi.org/10.1016/j.jvs.2022.02.047
15. Stewart B, Mannell A. Superior mesenteric artery aneurysms: a case report. Aust N Z J Surg. 1991;61(2):153-155. https://doi.org/10.1111/j.1445-2197.1991.tb00194.x
16. Kickuth R, Rattunde H, Gschossmann J, Inderbitzin D, Ludwig K, Triller J. Acute lower gastrointestinal hemorrhage: minimally invasive management with microcatheter embolization. J Vasc Interv Radiol. 2008;19(9):1289-96.e2. https://doi.org/10.1016/j.jvir.2008.06.003
17. Zia Z, Thurley PD, Pollock JG, DeNunzio M, Bungay P, Whitaker SC. The diagnosis and endovascular management of superior mesenteric artery (SMA) branch pseudoaneurysms after appendicectomy. Vasc Endovascular Surg. 2012;46(1):54-57. https://doi.org/10.1177/1538574411425109
18. Xu X, Eubanks AL, Wladis A, Veldhuis P, Eubanks S. Mycotic Superior Mesenteric Artery Aneurysm: Case Report and Literature Review. Surg Innov. 2019;26(2):260-264. https://doi.org/10.1177/1553350618817955
19. Hayakawa J, Ueda T, Fujiwara Y, Ozaki Y, Wakita S, Maeda M, et al. Successful coil embolization for life-threatening hemorrhage in childhood leukemia induction therapy. Pediatr Int. 2013;55(2):248-251. https://doi.org/10.1111/j.1442-200x.2012.03682.x
20. Fetti AC, Puia VR, Comsa M, Stanca MH, Puia A, Al Hajjar N. Inferior Pancreatico-Duodenal Artery Aneurysm with Superior Mesenteric Artery Stenosis. J Gastrointestin Liver Dis. 2020;29(1):115-118. https://doi.org/10.15403/jgld-390
21. Kobayashi S, Yamaguchi A, Isogai M, Hori A, Kaneoka Y, Takeuchi Y. Successful transcatheter embolization of a pancreaticoduodenal artery aneurysm in association with celiac axis occlusion: a case report. Hepatogastroenterology. 1999;46(29):2991-2994. https://pubmed.ncbi.nlm.nih.gov/10576389/
22. Peterson BG, Resnick SA, Eskandari MK. Coil embolization of an inferior pancreaticoduodenal artery aneurysm associated with celiac artery occlusion. Cardiovasc Surg. 2003;11(6):515-519. https://doi.org/10.1177/096721090301100615
23. Dave B, Sharma A, Kwolek C, Demoya M, Wicky S, Kalva S. Percutaneous transcatheter arterial embolization of inferior pancreatico-duodenal artery aneurysms associated with celiac artery stenosis or occlusion. Catheter Cardiovasc Interv. 2010;75(5):663-672. https://doi.org/10.1002/ccd.22395
24. Chu PH, She HC, Lim KE, Chu JJ. Mycotic aneurysm of the superior mesenteric artery in a young woman. Int J Clin Pract. 2005;59(5):614-616. https://doi.org/10.1111/j.1368-5031.2005.00526.x
25. Sharma G, Semel ME, McGillicuddy EA, Ho KJ, Menard MT, Gates JD. Ruptured and unruptured mycotic superior mesenteric artery aneurysms. Ann Vasc Surg. 2014;28(8):1931.e5-8. https://doi.org/10.1016/j.avsg.2014.06.066
26. Takashima J, Taniguchi K, Koizumi A, Shigehara F, Yamazaki K, Fujimoto D, et al. Ruptured ileocolic artery pseudoaneurysm after laparoscopic appendectomy for acute appendicitis. Surg Case Rep. 2022;8(1):186. https://doi.org/10.1186/s40792-022-01538-y
27. Stone WM, Abbas M, Cherry KJ, Fowl RJ, Gloviczki P. Superior mesenteric artery aneurysms: is presence an indication for intervention?. J Vasc Surg. 2002;36(2):234-7; discussion 237. https://doi.org/10.1067/mva.2002.125027
28. Garwood ER, Kumar AS, Hirvela E. Spontaneous hemoperitoneum from a ruptured mesenteric branch arterial aneurysm: report of a case. Surg Today. 2009;39(8):721-724. https://doi.org/10.1007/s00595-008-3892-6
29. Jacobs CR, Fatima J, Scali ST, Hodges ZH, Back MR, Arnaoutakis DJ, et al. Surgical Treatment of True Superior Mesenteric Artery Aneurysms. Ann Vasc Surg. 2021;71:74-83. https://doi.org/10.1016/j.avsg.2020.08.142
30. Abdelgabar A, d'Archambeau O, Maes J, Van den Brande F, Cools P, Rutsaert RR. Visceral artery pseudoaneurysms: two case reports and a review of the literature. J Med Case Rep. 2017;11(1):126. https://doi.org/10.1186/s13256-017-1291-6
31. Pitton MB, Dappa E, Jungmann F, Kloeckner R, Schotten S, Wirth GM, et al. Visceral artery aneurysms: Incidence, management, and outcome analysis in a tertiary care center over one decade. Eur Radiol. 2015;25(7):2004-2014. https://doi.org/10.1007/s00330-015-3599-1
32. Vincenzi P, Gaudenzi D, Mulazzani L, Rebonato A, Patriti A. Crohn's Disease and Jejunal Artery Aneurysms: A Report of the First Case and a Review of the Literature. Medicina (Kaunas). 2022;58(10):1344. https://doi.org/10.3390/medicina58101344
33. Matsumoto T, Ishizuka M, Iso Y, Kita J, Kubota K. Mini-Laparotomy for Superior Mesenteric Artery Aneurysm Due to Takayasu's Arteritis. Int Surg. 2015;100(4):765-769. https://doi.org/10.9738/intsurg-d-14-00127.1
34. Chaer RA, Abularrage CJ, Coleman DM, Eslami MH, Kashyap VS, Rockman C, et al. The Society for Vascular Surgery clinical practice guidelines on the management of visceral aneurysms. J Vasc Surg. 2020;72(1S):3S-39S. https://doi.org/10.1016/j.jvs.2020.01.039
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