Journal «Angiology and Vascular Surgery» • 

2006 • VOLUME 12 • №4

SURGICAL AND ENDOVASCULAR TREATMENT OF VISCERAL ARTERIES ANEURYSMS: SINGLE-INSTITUTION EXPERIENCE

Ilias Dalainas, Giovanni Nano, Renato Casana, Paolo Bianchi, Silvia Stegher, Giovanni Malacrida, Domenico G Tealdi
1-st Vascular Surgery Unit – School of Vascular Surgery, Istituto Policlinico San Donato, University of Milan,
Italy

Objective. Through a retrospective single-Institution study we report our experience on the treatment of the visceral arteries aneurysms, surgical or endovascular.

Materials and Methods. Between February 1993 and February 2003, 17 patients were admitted to our Insti-tution for treatment of an aneurysm of a visceral artery. In the pre-endovascular period for our Institution (1993-1998), 9 patients have been treated surgically. In the second period (1998-2003), 4 patients were treated surgically; and 4 with an endovascular procedure.

Results. Only 1 patient died in the operating room because of the advanced hypovolemic shock (rupture pancreatoduodenal artery aneurysm) that was admitted to the Institution. She was one of the surgically treated patients of the second period. No other complications occurred in the other patients. The endovascular procedures had favorable outcome.

Conclusions. Actually, the treatment of choice in our Department is interventistic, preferring endovascular treatment when the clinical and anatomo-morphological conditions are favorable. When the morphologic conditions are not favorable, the surgical reconstruction should respect as much as possible the anatomic location of the lesion.

KEY WORDS: visceral aneurysm, hepatic artery aneurysm, celiac artery aneurysm, endovascular, stent-graft.

P. 60-67

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