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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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Autores principales: Mastroroberto, Marianna, Berardi, Sonia, Renzulli, Matteo, Maggioli, Caterina, Pianta, Paolo, Pinna, Antonio Daniele, Golfieri, Rita, Sama, Claudia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3414005/
https://www.ncbi.nlm.nih.gov/pubmed/22900219
http://dx.doi.org/10.1155/2012/652469
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author Mastroroberto, Marianna
Berardi, Sonia
Renzulli, Matteo
Maggioli, Caterina
Pianta, Paolo
Pinna, Antonio Daniele
Golfieri, Rita
Sama, Claudia
author_facet Mastroroberto, Marianna
Berardi, Sonia
Renzulli, Matteo
Maggioli, Caterina
Pianta, Paolo
Pinna, Antonio Daniele
Golfieri, Rita
Sama, Claudia
author_sort Mastroroberto, Marianna
collection PubMed
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.
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spelling pubmed-34140052012-08-16 Transcatheter Embolization for Giant Splenic Artery Aneurisms: Still an Open Question Mastroroberto, Marianna Berardi, Sonia Renzulli, Matteo Maggioli, Caterina Pianta, Paolo Pinna, Antonio Daniele Golfieri, Rita Sama, Claudia Case Rep Radiol Case Report 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. Hindawi Publishing Corporation 2012 2012-07-30 /pmc/articles/PMC3414005/ /pubmed/22900219 http://dx.doi.org/10.1155/2012/652469 Text en Copyright © 2012 Marianna Mastroroberto et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Mastroroberto, Marianna
Berardi, Sonia
Renzulli, Matteo
Maggioli, Caterina
Pianta, Paolo
Pinna, Antonio Daniele
Golfieri, Rita
Sama, Claudia
Transcatheter Embolization for Giant Splenic Artery Aneurisms: Still an Open Question
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3414005/
https://www.ncbi.nlm.nih.gov/pubmed/22900219
http://dx.doi.org/10.1155/2012/652469
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