title: Successful treatment of aberrant splenic artery aneurysm with a combination of coils embolization and covered stents.
abstract: BACKGROUND
  Aneurysms of an aberrant splenic artery originating from the superior mesenteric artery (SMA) are extremely rare; however, they are clinically important because possible rupture could be catastrophic. The methods of treatment for this condition include surgical resection, minimally invasive techniques (include laparoscopic technique) and endovascular therapy. The purpose of this study is to evaluate the efficacy of coils embolization combined with covered stents to treat aberrant splenic artery aneurysm (SAA).
  
  
  METHODS
  We report four consecutive cases of aberrant SAA that the aberrant splenic artery was embolized with coils and the superior mesenteric artery was excluded with a covered stent and an up-to-date review of all previous cases in the field. A follow-up computed tomography performed 6 to 12 months postoperatively showed persistent exclusion with marked shrinkage of the aneurysm sac.
  
  
  CONCLUSIONS
  The authors believe although early results are promising, further careful follow-up will be needed to determine the long-term clinical efficacy, safety and applicability of this approach.
authors.affiliation: Department of Vascular Surgery, The second affiliated hospital of Nanchang University, No 1#, Minde Road, Nanchang, China. drzwm@sina.com.
authors.forename: Weimin
authors.initials: W
authors.lastname: Zhou
authors.forename: Jiehua
authors.initials: J
authors.lastname: Qiu
authors.forename: Qingwen
authors.initials: Q
authors.lastname: Yuan
authors.forename: Wei
authors.initials: W
authors.lastname: Zhou
authors.forename: Jixin
authors.initials: J
authors.lastname: Xiong
authors.forename: Qingzhong
authors.initials: Q
authors.lastname: Zeng
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy*; D001807:Blood Vessel Prosthesis; D004621:Embolization, Therapeutic / Q000379:methods*; D057510:Endovascular Procedures / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D013157:Splenic Artery; D015607:Stents; D014057:Tomography, X-Ray Computed