title: Endovascular Repair of Concomitant Celiac and Splenic Artery Aneurysms Using a Combination of Coil Embolization and Aortic Cuff Stent Graft.
abstract: Large celiac artery aneurysms are associated with a high rupture and mortality risk. Traditionally, open surgical repair has been the mainstay of treatment. Endovascular alternatives have been increasingly described, ranging from coil embolization to exclusion with covered stent grafts. Certain features such as a short wide neck, small vessel diameters, and severe vessel tortuosity can limit these two options. We describe a 75-year-old man with a splenic and celiac trunk aneurysm that was treated using a combination of coil embolization to occlude the outflow artery and aneurysm sac, followed by an aortic stent graft cuff to block the inflow. This resulted in successful exclusion of the splenic and celiac artery aneurysms while preserving flow to both the spleen and liver through collateral pathways.
authors.affiliation: Department of General Surgery, Arrowhead Regional and Kaiser Permanente Fontana Medical Centers, Fontana, CA.
authors.forename: Esther
authors.initials: E
authors.lastname: Bae
authors.affiliation: Department of General and Vascular Surgery, Kaiser Permanente Fontana, CA. Electronic address: Trung.D.Vo@kp.org.
authors.forename: Trung Duong
authors.initials: TD
authors.lastname: Vo
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D002445:Celiac Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D003097:Collateral Circulation; D000072226:Computed Tomography Angiography; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D057510:Endovascular Procedures / Q000295:instrumentation*; D006439:Hemodynamics; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D012039:Regional Blood Flow; D013157:Splenic Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D015607:Stents; D016896:Treatment Outcome