Journal «Angiology and Vascular Surgery» • 

2015 • VOLUME 21 • №2

Endovascular interventions in true and false aneurysms of hepatic, splenic and renal arteries

Shevchenko Yu.L., Stoiko Yu.M., Bolomatov N.V., Batrashov V.A., Andreitsev I.L., Levchuk A.L., Bruslik S.V., Viller A.G., Nazarov V.A., Yudaev S.S., Manafov E.N.

National Medical and Surgical Centre named after N.I. Pirogov under the RF Public Health Ministry, Moscow, Russia

A false aneurysm of visceral arteries is a life-threatening pathology sufficiently difficult to treat. Open operations are characterised by a large scope, considerable surgical injury and accompanied by a high rate of serious complications. The development of the technology of superselective catheterization of blood vessels, creation of specialized microcatheters, glue composites and various types of spirals made it possible to treat this severe pathology without resorting to open operations. The work deals with a brief literature review concerning epidemiology, methods of diagnosis and treatment of pseudoaneurysms of visceral arteries, followed by presenting three clinical case reports concerning successful treatment of posttraumatic false aneurysms of the right hepatic and splenic arteries, as well as an aneurysm of the renal artery. Both immediate and remote results of endovascular interventions in these patients are followed up, demonstrably showing possibilities of endovascular technologies in treatment of the pathology involved.

KEY WORDS: false aneurysm of the hepatic artery, pseudoaneurysm of the splenic artery, renal artery aneurysm, embolization, occlusion balloon, microspirals, glue composites.

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