×
Home Current Archive Editorial board
News Contact
Review paper

Application of a personal Santini technique in the resolution of a complex celiac trunk aneurysm - endovascular treatment

By
Gianpaolo Santini Orcid logo ,
Gianpaolo Santini
Contact Gianpaolo Santini

Vascular and Interventional Unit-P.O. Ospedale del Mare, ASL NA1 Centro, viale delle Metamorfosi, Italy

Pasquale Quassone ,
Pasquale Quassone
Contact Pasquale Quassone

Department of Precision Medicine, University of Campania "L. Vanvitelli", Naples, Italy

Luca Tarotto ,
Luca Tarotto

Vascular and Interventional Unit-P.O. Ospedale del Mare, ASL NA1 Centro, viale delle Metamorfosi, Italy

Francesco Arienzo ,
Francesco Arienzo

Vascular and Interventional Unit-P.O. Ospedale del Mare, ASL NA1 Centro, viale delle Metamorfosi, Italy

Giuseppe Sarti
Giuseppe Sarti

Vascular and Interventional Unit-P.O. Ospedale del Mare, ASL NA1 Centro, viale delle Metamorfosi, Italy

Abstract

Aim
Vascular pathologies have been already explored for the most of their aspects. It is a group of pathologies with unclear ethology and with an evolution in time not easy to forecast. Treatment guidelines are conflicting. The aim of this study was to describe cases in their most practical and technical aspect, especially in complicated conditions.
Methods
This was a descriptive case report of a patient with a hepatic artery aneurysm complicated by a dissection leading up
to the splenic artery, and how the team had invented a planned treatment for the patient using a minimally invasive approach. The experience was born with the intention of showing how the endovascular approach is at least as safe as the traditional one despite the complexity of our case.
Results
The procedure was completed without any complications. After a stay in long day surgery, the patient returned home.
Conclusion
Using a minimally invasive technique allows to reduce the patient's post-operative suffering and the economic burden
on the health system.

References

1.
Laganà D, Carrafiello G, Mangini M, Dionigi G, Caronno R, Castelli P, et al. Multimodal approach to endovascular treatment of visceral artery aneurysms and pseudoaneurysms. Eur J Radiol. 2006. p. 104–11.
2.
Abbas M, Stone W, Fowl R, Gloviczki P, Oldenburg W, Pairolero P, et al. Splenic artery aneurysms: two decades experience at Mayo Clinic. Ann Vasc Surg. 2002. p. 442–9.
3.
Tulsyan N, Kashyap V, Greenberg R, Sarac T, Pierce C, Ouriel G, et al. The endovascular management of visceral artery aneurysms and pseudoaneurysms. J Vasc Surg. 2007. p. 276–83.
4.
Panayiotopulps Y, Taylor P, Assadourian R. Aneurysm of the visceral and renal arteries. Ann R Coll Surg Engl. 1996. p. 412–9.
5.
Pitton M, Dappa E, Jungmann F, Kloeckner R, Schotten S, Wirth G, et al. Visceral artery aneurysms: Incidence, management, and outcome analysis in a tertiary care center over one decade. Eur Radiol. 2015. p. 2004–14.
6.
Chiesa R, Astore D, Guzzo D, Frigerio S, Tshomba Y, Castellano R, et al. Visceral artery aneurisms. Ann Vasc Surg. 2005. p. 42–8.
7.
Stillo F, Ebner H, Lanza G, Agus G, Apperti M, Bernardini E, et al. Linee guida sicve-sif societá italiana di chirurgia vascolare ed endovascolare e societá italiana di flebologia [The 2016 Guidelines of the Italian Society for Vascular and Endovascular Surgery (SICVE) and Italian Society of Phlebology (SIF)] [In Italian. Italian Journal of Vascular and Endovascular Surgery. 2016. p. 1–45.
8.
Sun G, Ding J, Lu Y, Li M, Li L, Li G, et al. Comparison of standard and low tube voltage 320 detector row volume CT angiography in detection of intracranial aneurysms with digital subtraction angiography as gold standard. Acad Radiol. 2012. p. 281–8.

Citation

Authors retain copyright. This work is licensed under a Creative Commons Attribution 4.0 International License. Creative Commons License

 

Article metrics

Google scholar: See link

The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.