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Guidewires as Embolic Agents? Embolotherapy of Large Splenic Artery Aneurysms
Splenic artery aneurysms are among the more frequently diagnosed intra-abdominal aneurysms and are not infrequent in patients with raised portal venous pressure often requiring endovascular or surgical therapy. A 36-year-old female patient with Non-cirrhotic portal fibrosis and portal hypertension was diagnosed with multiple large splenic artery aneurysms for which she was initially operated which resulted in substantial blood loss during dissection that required embolotherapy. Initial attempts at coil embolization proved unsuccessful due to the wide aneurysmal neck and flow characteristics. Following which the aneurysmal sac was packed with multiple guidewires to act as a scaffold for further coil embolization. Subsequently, hemostasis was achieved and the patient underwent splenectomy later thereby demonstrating that embolization of large aneurysms can be accomplished with reasonable efficacy using guidewires.
29 April 2021 (online)
© 2021. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
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- 1 Lee PC, Rhee RY, Gordon RY, Fung JJ, Webster MW. Management of splenic artery aneurysms: the significance of portal and essential hypertension. J Am Coll Surg 1999; 189 (05) 483-490
- 2 Akbulut S, Otan E. Management of Giant Splenic Artery Aneurysm: Comprehensive Literature Review.. Liu. B, ed. Medicine 2015; 94 (27) e1016 DOI: 10.1097/MD.0000000000001016.
- 3 Al-Habbal Y, Christophi C, Muralidharan V. Aneurysms of the splenic artery - a review. Surgeon 2010; 8 (04) 223-231
- 4 Guziński M, Kurcz J, Kukulska M, Neska M, Garcarek J. Embolization of a True Giant Splenic Artery Aneurysm Using NBCA Glue - Case Report and Literature Review. Pol J Radiol 2015; 80: 155-158 DOI: 10.12659/PJR.891405.
- 5 Briard RJ, Lee J, Doyle T, Thompson P. Endovascular repair of a portal hypertension-related splenic artery aneurysm using a self-expanding stent-graft. Cardiovasc Intervent Radiol 2009; 32 (05) 1111-1113 DOI: 10.1007/s00270-009-9518-6.
- 6 Yadav S, Sharma P, Singh PK. et al. Giant splenic artery aneurysm: A rare but potentially catastrophic surgical challenge. Int J Surg Case Rep 2012; 3 (11) 533-536 DOI: 10.1016/j.ijscr.2012.06.010.
- 7 Mishra PK, Saluja SS, Sharma AK, Pattnaik P. Management of splenic artery aneurysm associated with extrahepatic portal vein obstruction. Hepatobiliary Pancreat Dis Int 2012; 11 (03) 330-333
- 8 Trambert JJ, Abubaker SJ, Kanner BJ. Giant mycotic pulmonary artery pseudoaneurysm treated by guide wire and coil embolization. J Vasc Interv Radiol 2014; 25 (10) 1643-1645
- 9 Kim D, Guthaner DF, Walter JF, Pyle R. Embolization of visceral arteriovenous fistulas with a modified steel wire technique. AJR Am J Roentgenol 1984; 142 (06) 1215-1218