Cargando…
Visceral artery aneurysms
Visceral artery aneurysms are rare with an incidence of only 0.01–0.1% of the population. Open surgical or endovascular elimination should be performed for aneurysms greater than 2 cm in size. The risk of aneurysm rupture is then approximately 25–40%. If the aneurysm ruptures the mortality can be as...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Medizin
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5997106/ https://www.ncbi.nlm.nih.gov/pubmed/29950792 http://dx.doi.org/10.1007/s00772-018-0384-x |
_version_ | 1783330997858729984 |
---|---|
author | Juntermanns, B. Bernheim, J. Karaindros, K. Walensi, M. Hoffmann, J. N. |
author_facet | Juntermanns, B. Bernheim, J. Karaindros, K. Walensi, M. Hoffmann, J. N. |
author_sort | Juntermanns, B. |
collection | PubMed |
description | Visceral artery aneurysms are rare with an incidence of only 0.01–0.1% of the population. Open surgical or endovascular elimination should be performed for aneurysms greater than 2 cm in size. The risk of aneurysm rupture is then approximately 25–40%. If the aneurysm ruptures the mortality can be as high as 76%. For mycotic aneurysms or spurious aneurysms there is no lower limit to the diameter size for the need of treatment. Sudden abdominal pain during pregnancy can be caused by visceral artery aneurysms and must be further clarified. The indications for surgery during pregnancy should be made generously. The clinical symptoms (abdominal complaints) of visceral artery aneurysms are manifold. The treatment can be either an open surgical approach or endovascular treatment. In the emergency setting, if endovascular treatment is no longer possible, an open surgical treatment needs to be performed. There are so far no randomized studies which could identify one of the procedures (open surgery vs. endovascular surgery) as clearly being superior. The prognosis after treatment is satisfactory with a 5–10 year survival rate of approximately 90%. |
format | Online Article Text |
id | pubmed-5997106 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer Medizin |
record_format | MEDLINE/PubMed |
spelling | pubmed-59971062018-06-25 Visceral artery aneurysms Juntermanns, B. Bernheim, J. Karaindros, K. Walensi, M. Hoffmann, J. N. Gefasschirurgie Übersichten Visceral artery aneurysms are rare with an incidence of only 0.01–0.1% of the population. Open surgical or endovascular elimination should be performed for aneurysms greater than 2 cm in size. The risk of aneurysm rupture is then approximately 25–40%. If the aneurysm ruptures the mortality can be as high as 76%. For mycotic aneurysms or spurious aneurysms there is no lower limit to the diameter size for the need of treatment. Sudden abdominal pain during pregnancy can be caused by visceral artery aneurysms and must be further clarified. The indications for surgery during pregnancy should be made generously. The clinical symptoms (abdominal complaints) of visceral artery aneurysms are manifold. The treatment can be either an open surgical approach or endovascular treatment. In the emergency setting, if endovascular treatment is no longer possible, an open surgical treatment needs to be performed. There are so far no randomized studies which could identify one of the procedures (open surgery vs. endovascular surgery) as clearly being superior. The prognosis after treatment is satisfactory with a 5–10 year survival rate of approximately 90%. Springer Medizin 2018-04-20 2018 /pmc/articles/PMC5997106/ /pubmed/29950792 http://dx.doi.org/10.1007/s00772-018-0384-x Text en © The Author(s) 2018 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Übersichten Juntermanns, B. Bernheim, J. Karaindros, K. Walensi, M. Hoffmann, J. N. Visceral artery aneurysms |
title | Visceral artery aneurysms |
title_full | Visceral artery aneurysms |
title_fullStr | Visceral artery aneurysms |
title_full_unstemmed | Visceral artery aneurysms |
title_short | Visceral artery aneurysms |
title_sort | visceral artery aneurysms |
topic | Übersichten |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5997106/ https://www.ncbi.nlm.nih.gov/pubmed/29950792 http://dx.doi.org/10.1007/s00772-018-0384-x |
work_keys_str_mv | AT juntermannsb visceralarteryaneurysms AT bernheimj visceralarteryaneurysms AT karaindrosk visceralarteryaneurysms AT walensim visceralarteryaneurysms AT hoffmannjn visceralarteryaneurysms |