The contemporary management of splenic artery aneurysms

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Presentation transcript:

The contemporary management of splenic artery aneurysms Ryan O. Lakin, MD, James F. Bena, MS, Timur P. Sarac, MD, Samir Shah, MD, Leonard P. Krajewski, MD, Sunita D. Srivastava, MD, Daniel G. Clair, MD, Vikram S. Kashyap, MD Journal of Vascular Surgery Volume 53, Issue 4, Pages 958-965 (April 2011) DOI: 10.1016/j.jvs.2010.10.055 Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 1 A 54-year-old female underwent arterial-phase computed tomography imaging during an evaluation for flank pain attributed to kidney stones. This three-dimensional reconstruction image illustrates the tortuosity of the splenic artery and the incidentally discovered egg-shell appearance of a 2.7-cm midsplenic artery aneurysm. Journal of Vascular Surgery 2011 53, 958-965DOI: (10.1016/j.jvs.2010.10.055) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 2 Endovascular ablation of a splenic artery aneurysm (SAA). A, Transfemoral access with nonselective catheter aortography showing the SAA on a delayed image. B, Selective splenic artery angiography. Coils are then placed into outflow vessel, aneurysm sac, and inflow vessel. C, Completion aortography confirming occlusion of the SAA. Coils are visible in the vessels and aneurysm sac. Journal of Vascular Surgery 2011 53, 958-965DOI: (10.1016/j.jvs.2010.10.055) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 3 Evolution of a splenic artery aneurysm (SAA) A, An incidentally noted 2.6-cm partially thrombosed SAA was noted on a chest computed tomography (CT) ordered to evaluate shortness of breath. The patient was 45 years old at the time. B, CT imaging 4 years later shows no growth in size and development of calcification around the sac. Journal of Vascular Surgery 2011 53, 958-965DOI: (10.1016/j.jvs.2010.10.055) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

Fig 4 Kaplan-Meier estimates of overall survival are shown by group. P = .18, log-rank test, standard error (SE) < 10% for both curves throughout time interval. Journal of Vascular Surgery 2011 53, 958-965DOI: (10.1016/j.jvs.2010.10.055) Copyright © 2011 Society for Vascular Surgery Terms and Conditions