A Splenic Artery Aneurysm Occlusion by Overlapping Gore® Viabahn® Endoprosthesis Devices
The first lienal artery aneurysm was discovered and described for the first time in 1770 by the Frenchman Beaussier during an autopsy. It was first visualised using X-rays in 1920 by the physicians Akbulut and Otan. The first surgical treatment of a splenic artery aneurysm was performed by sur-geon...
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SJORANM GmbH (Ltd.)
2024-07-01
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| author | Nando Mertineit Amgad El Mekabaty Gholam Reza Afarideh Carlos Buitrago Tellez Pascal Kissling Stefanie Garni Frank Mosler Gerd Nöldge |
| author_facet | Nando Mertineit Amgad El Mekabaty Gholam Reza Afarideh Carlos Buitrago Tellez Pascal Kissling Stefanie Garni Frank Mosler Gerd Nöldge |
| author_sort | Nando Mertineit |
| collection | DOAJ |
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The first lienal artery aneurysm was discovered and described for the first time in 1770 by the Frenchman Beaussier during an autopsy. It was first visualised using X-rays in 1920 by the physicians Akbulut and Otan. The first surgical treatment of a splenic artery aneurysm was performed by sur-geons MacLeod and Maurice in 1940. The first minimally invasive endovascular therapies using coils, stents or a combination of the two devices for minimally invasive treatment of aneurysms of the lienal artery were reported in 1990, 1994 and 1995 (1,2,3). 63-year-old patient with a known aneurysmal arteriopathy of the thoracic aorta in the sense of an aortic dissection in coexistence with a 2.2 cm splenic artery aneurysm discovered by chance in the vascular surgery department of the Bürgerspital Solothurn. The interdisciplinary consensus primarily favoured vascular surgery or minimally invasive transcatheter treatment to eliminate the splenic artery aneurysm. The dissected thoracic aortic aneurysm detected in the pre-interventional CT of the thorax and abdomen, extending into the abdominal aorta, (Fig. 1) should only be treated with minimally invasive endovascular treatment using EVAR after stenting of the lienal artery aneurysm detected by CT (Fig. 9, 10, 11). A reverse therapeutic sequence would have allowed access to the lienal artery aneurysm only by fenestration of the EVAR. For the treatment of our patient's wide-neck aneurysm, the use of a Viabahn was chosen from the many known and proven occlusion materials as a significantly less invasive alternative to surgical treatment of the aneurysm by interdisciplinary consensus. Due to a technical complication during the deployment of the first vial, a two-stage angiographic therapeutic intervention was necessary.
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| format | Article |
| id | doaj-art-e19f70515fd94f14b1b0551965ef268c |
| institution | DOAJ |
| issn | 2813-7221 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | SJORANM GmbH (Ltd.) |
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| series | Swiss Journal of Radiology and Nuclear Medicine |
| spelling | doaj-art-e19f70515fd94f14b1b0551965ef268c2025-08-20T02:45:08ZengSJORANM GmbH (Ltd.)Swiss Journal of Radiology and Nuclear Medicine2813-72212024-07-0110110.59667/sjoranm.v10i1.12A Splenic Artery Aneurysm Occlusion by Overlapping Gore® Viabahn® Endoprosthesis DevicesNando Mertineit0https://orcid.org/0000-0002-5115-8161Amgad El Mekabaty1https://orcid.org/0000-0002-9900-2588Gholam Reza Afarideh2Carlos Buitrago Tellez3https://orcid.org/0000-0003-4318-1342Pascal Kissling4https://orcid.org/0000-0001-7338-5165Stefanie Garni5https://orcid.org/0009-0008-4815-1402Frank Mosler6https://orcid.org/0000-0002-2039-4911Gerd Nöldge7https://orcid.org/0009-0001-4186-4986Institut für Medizinische Radiologie (IMR) Bürgerspital Solothurn, Solothurn, SwitzerlandInstitut für Medizinische Radiologie (IMR) Bürgerspital Solothurn, Solothurn, SwitzerlandGefässzentrum Bürgerspital Solothurn, Solothurn, SwitzerlandInstitut für Medizinische Radiologie (IMR) Bürgerspital Solothurn, Solothurn, SwitzerlandGefässzentrum Bürgerspital Solothurn, Solothurn, SwitzerlandDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDepartment of Diagnostic, Interventional and Pediatric Radiology, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandInstitut für Medizinische Radiologie (IMR) Bürgerspital Solothurn, Solothurn, Switzerland The first lienal artery aneurysm was discovered and described for the first time in 1770 by the Frenchman Beaussier during an autopsy. It was first visualised using X-rays in 1920 by the physicians Akbulut and Otan. The first surgical treatment of a splenic artery aneurysm was performed by sur-geons MacLeod and Maurice in 1940. The first minimally invasive endovascular therapies using coils, stents or a combination of the two devices for minimally invasive treatment of aneurysms of the lienal artery were reported in 1990, 1994 and 1995 (1,2,3). 63-year-old patient with a known aneurysmal arteriopathy of the thoracic aorta in the sense of an aortic dissection in coexistence with a 2.2 cm splenic artery aneurysm discovered by chance in the vascular surgery department of the Bürgerspital Solothurn. The interdisciplinary consensus primarily favoured vascular surgery or minimally invasive transcatheter treatment to eliminate the splenic artery aneurysm. The dissected thoracic aortic aneurysm detected in the pre-interventional CT of the thorax and abdomen, extending into the abdominal aorta, (Fig. 1) should only be treated with minimally invasive endovascular treatment using EVAR after stenting of the lienal artery aneurysm detected by CT (Fig. 9, 10, 11). A reverse therapeutic sequence would have allowed access to the lienal artery aneurysm only by fenestration of the EVAR. For the treatment of our patient's wide-neck aneurysm, the use of a Viabahn was chosen from the many known and proven occlusion materials as a significantly less invasive alternative to surgical treatment of the aneurysm by interdisciplinary consensus. Due to a technical complication during the deployment of the first vial, a two-stage angiographic therapeutic intervention was necessary. https://sjoranm.com/sjoranm/article/view/39Occlusion of splenic artery aneurysmoverlapping of 2 stent-graftsGore®Viabahn® Endoprosthesistwo steps deployment |
| spellingShingle | Nando Mertineit Amgad El Mekabaty Gholam Reza Afarideh Carlos Buitrago Tellez Pascal Kissling Stefanie Garni Frank Mosler Gerd Nöldge A Splenic Artery Aneurysm Occlusion by Overlapping Gore® Viabahn® Endoprosthesis Devices Swiss Journal of Radiology and Nuclear Medicine Occlusion of splenic artery aneurysm overlapping of 2 stent-grafts Gore®Viabahn® Endoprosthesis two steps deployment |
| title | A Splenic Artery Aneurysm Occlusion by Overlapping Gore® Viabahn® Endoprosthesis Devices |
| title_full | A Splenic Artery Aneurysm Occlusion by Overlapping Gore® Viabahn® Endoprosthesis Devices |
| title_fullStr | A Splenic Artery Aneurysm Occlusion by Overlapping Gore® Viabahn® Endoprosthesis Devices |
| title_full_unstemmed | A Splenic Artery Aneurysm Occlusion by Overlapping Gore® Viabahn® Endoprosthesis Devices |
| title_short | A Splenic Artery Aneurysm Occlusion by Overlapping Gore® Viabahn® Endoprosthesis Devices |
| title_sort | splenic artery aneurysm occlusion by overlapping gore r viabahn r endoprosthesis devices |
| topic | Occlusion of splenic artery aneurysm overlapping of 2 stent-grafts Gore®Viabahn® Endoprosthesis two steps deployment |
| url | https://sjoranm.com/sjoranm/article/view/39 |
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