Transcatheter Embolization for Giant Splenic Artery Aneurisms: Still an Open Question
Transcatheter embolization is the mainstay of the therapy of splenic artery aneurysms (SAAs) in patients with portal hypertension. It is indicated when the SAA diameter reaches 20 mm. Although endovascular techniques are effective and safe for the treatment of medium-sized SAAs, little is known abou...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Radiology |
| Online Access: | http://dx.doi.org/10.1155/2012/652469 |
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| author | Marianna Mastroroberto Sonia Berardi Matteo Renzulli Caterina Maggioli Paolo Pianta Antonio Daniele Pinna Rita Golfieri Claudia Sama |
| author_facet | Marianna Mastroroberto Sonia Berardi Matteo Renzulli Caterina Maggioli Paolo Pianta Antonio Daniele Pinna Rita Golfieri Claudia Sama |
| author_sort | Marianna Mastroroberto |
| collection | DOAJ |
| description | Transcatheter embolization is the mainstay of the therapy of splenic artery aneurysms (SAAs) in
patients with portal hypertension. It is indicated when the SAA diameter reaches 20 mm. Although endovascular techniques are effective and safe for the treatment of medium-sized SAAs, little is known about their applicability to large-sized SAAs. Herein, we report a case of giant SAA, which was treated with transcatheter coil embolization. The case was not considered suitable for surgery because of the presence of severe portal hypertension. The procedure was complicated by bacterial infection of the coils within the aneurismatic sac, leading to the development of hepatic failure. A liver transplant was then successfully performed despite the presence of a nonresponsive infection. |
| format | Article |
| id | doaj-art-08eab9e71ef74947b217ed2e4d3bb977 |
| institution | Kabale University |
| issn | 2090-6862 2090-6870 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Radiology |
| spelling | doaj-art-08eab9e71ef74947b217ed2e4d3bb9772025-02-03T01:11:16ZengWileyCase Reports in Radiology2090-68622090-68702012-01-01201210.1155/2012/652469652469Transcatheter Embolization for Giant Splenic Artery Aneurisms: Still an Open QuestionMarianna Mastroroberto0Sonia Berardi1Matteo Renzulli2Caterina Maggioli3Paolo Pianta4Antonio Daniele Pinna5Rita Golfieri6Claudia Sama7Unit of Liver Transplantation, Department of Digestive Disease and Internal Medicine, 40138 Sant'Orsola-Malpighi, ItalyUnit of Liver Transplantation, Department of Digestive Disease and Internal Medicine, 40138 Sant'Orsola-Malpighi, ItalyUnit of Liver Transplantation, Department of Digestive Disease and Internal Medicine, 40138 Sant'Orsola-Malpighi, ItalyUnit of Liver Transplantation, Department of Digestive Disease and Internal Medicine, 40138 Sant'Orsola-Malpighi, ItalyUnit of Liver Transplantation, Department of Digestive Disease and Internal Medicine, 40138 Sant'Orsola-Malpighi, ItalyDepartment of Emergency/Urgency, General Surgery and Transplantation, 40138 Sant’Orsola-Malpighi, ItalyUnit of Liver Transplantation, Department of Digestive Disease and Internal Medicine, 40138 Sant'Orsola-Malpighi, ItalyUnit of Liver Transplantation, Department of Digestive Disease and Internal Medicine, 40138 Sant'Orsola-Malpighi, ItalyTranscatheter embolization is the mainstay of the therapy of splenic artery aneurysms (SAAs) in patients with portal hypertension. It is indicated when the SAA diameter reaches 20 mm. Although endovascular techniques are effective and safe for the treatment of medium-sized SAAs, little is known about their applicability to large-sized SAAs. Herein, we report a case of giant SAA, which was treated with transcatheter coil embolization. The case was not considered suitable for surgery because of the presence of severe portal hypertension. The procedure was complicated by bacterial infection of the coils within the aneurismatic sac, leading to the development of hepatic failure. A liver transplant was then successfully performed despite the presence of a nonresponsive infection.http://dx.doi.org/10.1155/2012/652469 |
| spellingShingle | Marianna Mastroroberto Sonia Berardi Matteo Renzulli Caterina Maggioli Paolo Pianta Antonio Daniele Pinna Rita Golfieri Claudia Sama Transcatheter Embolization for Giant Splenic Artery Aneurisms: Still an Open Question Case Reports in Radiology |
| title | Transcatheter Embolization for Giant Splenic Artery Aneurisms: Still an Open Question |
| title_full | Transcatheter Embolization for Giant Splenic Artery Aneurisms: Still an Open Question |
| title_fullStr | Transcatheter Embolization for Giant Splenic Artery Aneurisms: Still an Open Question |
| title_full_unstemmed | Transcatheter Embolization for Giant Splenic Artery Aneurisms: Still an Open Question |
| title_short | Transcatheter Embolization for Giant Splenic Artery Aneurisms: Still an Open Question |
| title_sort | transcatheter embolization for giant splenic artery aneurisms still an open question |
| url | http://dx.doi.org/10.1155/2012/652469 |
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