Covered stenting and transcatheter embolization of splenic artery aneurysms in diabetic patients: A review of endovascular treatment of visceral artery aneurysms in the current era. (September 2018)

• Record Type: Journal Article
• Authors: Venturini, Massimo; Marra, Paolo; Colarieti, Anna; Agostini, Giulia; Lanza, Carolina; Augello, Luigi; Gusmini, Simone; Salvioni, Marco; Melissano, Germano; Fiorina, Paolo; Chiesa, Roberto; De Cobelli, Francesco; Del Maschio, Alessandro
• Is Part Of: Pharmacological research. Volume 135(2018)
• Page Start: 127
• Page End: 135
• Publication Date: 2018-09
• Subjects: CDU Color Doppler Ultrasonography -- CT computed tomography -- CS covered stenting -- DSA digital subtraction angiography -- DMSO dimethyl sulfoxide -- EVOH ethylene vinyl alcohol copolymer -- FD flow diverter -- MRI Magnetic Resonance Imaging -- NBCA N-butyl-cyanoacrylate -- PVA polyvinyl alcohol -- SAE stent assisted embolization -- TE transcatheter embolization -- VAPAs visceral artery pseudoaneurysms -- VAAs visceral artery aneurysms; Diabetes -- Visceral aneurysm -- Endovascular treatment -- Covered stent -- Transcatheter embolization; Pharmacology -- Periodicals; Pharmacology -- Periodicals; Research -- Periodicals; Médicaments -- Recherche -- Périodiques; Pharmacologie -- Périodiques; 615.105
• DOI: 10.1016/j.phrs.2018.07.023
• Languages: English
• ISSNs: 1043-6618

Abstract

Abstract: Diabetes mellitus is associated with both microvascular and macrovascular complications, which can result in visceral aneurysms as for example splenic artery aneurysms: in their management, an endovascular treatment, less invasive than surgery, is generally preferred. Endovascular treatment of splenic artery aneurysms can be based either on covered stenting (CS) or transcatheter embolization (TE). CS generally allows aneurysm exclusion with vessel preservation, while TE usually determines target artery occlusion with potential risk of distal ischemia. We performed a review of the existing literature on endovascular treatment of visceral artery aneurysms (VAAs) and psudoaneurysms (VAPAs) in the current era.