Wei Zhang1, Yu-Fei Fu2, Pei-Lei Wei3, Bei E3, De-Chun Li2, Jian Xu4. 1. Department of Infectious Disease and Liver Disease, Tangdu Hospital, Fourth Military Medical University, Xi'an, China. 2. Department of Radiology, Xuzhou Central Hospital, Xuzhou, China. 3. Department of Radiology, Xijing Hospital, Fourth Military Medical University, Xi'an, China. 4. Department of Radiology, Xijing Hospital, Fourth Military Medical University, Xi'an, China. Electronic address: xjjr1977@sina.com.
Abstract
PURPOSE: To determine the feasibility, safety, and long-term outcome of stent-graft insertion for endovascular repair of celiac artery aneurysm (CAA). MATERIALS AND METHODS: From January 2010 to April 2015, 10 patients (three men and seven women; mean age, 51.6 y ± 12.1; age range, 39-81 y) with CAAs underwent endovascular repair via stent-graft insertion in a single center. During treatment, the stent graft was placed at the celiac and common hepatic arteries. Standard follow-up protocol included abdominal CT angiography and clinical examinations at 1, 3, 6, and 12 months and annually thereafter. Follow-up was performed every 2-3 months via telephone for the duration of the follow-up period to confirm patients' general condition. Data on patient characteristics, technical success, procedure-related complications, and follow-up were collected and analyzed retrospectively. RESULTS: CAA was successfully sealed by the stent graft in all patients. The common hepatic artery was patent after stent insertion in all patients, and no procedure-related complication occurred. All patients were followed up for 1-64 months (mean, 19.3 mo ± 18.9). Abdominal CT angiography demonstrated no endoleak, stent obstruction, or splenic infarction during follow-up. All patients experienced CAA shrinkage with formation of thrombi or increase in the quantity of thrombi in the CAA sac. CONCLUSIONS: Stent-graft insertion is a safe and effective method for endovascular repair of CAA.
PURPOSE: To determine the feasibility, safety, and long-term outcome of stent-graft insertion for endovascular repair of celiac artery aneurysm (CAA). MATERIALS AND METHODS: From January 2010 to April 2015, 10 patients (three men and seven women; mean age, 51.6 y ± 12.1; age range, 39-81 y) with CAAs underwent endovascular repair via stent-graft insertion in a single center. During treatment, the stent graft was placed at the celiac and common hepatic arteries. Standard follow-up protocol included abdominal CT angiography and clinical examinations at 1, 3, 6, and 12 months and annually thereafter. Follow-up was performed every 2-3 months via telephone for the duration of the follow-up period to confirm patients' general condition. Data on patient characteristics, technical success, procedure-related complications, and follow-up were collected and analyzed retrospectively. RESULTS:CAA was successfully sealed by the stent graft in all patients. The common hepatic artery was patent after stent insertion in all patients, and no procedure-related complication occurred. All patients were followed up for 1-64 months (mean, 19.3 mo ± 18.9). Abdominal CT angiography demonstrated no endoleak, stent obstruction, or splenic infarction during follow-up. All patients experienced CAA shrinkage with formation of thrombi or increase in the quantity of thrombi in the CAA sac. CONCLUSIONS: Stent-graft insertion is a safe and effective method for endovascular repair of CAA.
Authors: Mohammad Koriem Mahmoud Omar; Moustafa H M Othman; Robert Morgan; Abdelkarem Hasan Abdallah; Hany Seif; Mohamed Zidan; Mahmoud Khairallah; Reham Abd El-Aleem Journal: CVIR Endovasc Date: 2021-07-16