Stent-Assisted Detachable Coil Embolization of Two Splenic Artery Aneurysms

Paulo Eduardo Ocke Reis; Guilherme de Palma Abrão

doi:10.36648/2634-7156.21.6.11

Stent-Assisted Detachable Coil Embolization of Two Splenic Artery Aneurysms

Paulo Eduardo Ocke Reis and Guilherme de Palma Abrão

Published Date: 2021-03-30
DOI10.36648/2634-7156.21.6.11

Paulo Eduardo Ocke Reis^1,2* and Guilherme de Palma Abrão³

¹Department of Specialized and General Surgery, Universidade Federal Fluminense, Rio de Janeiro, Brazil

²Vascular Clinic Ocke Reis, Rio de Janeiro, Brazil

³Department of Radiology, Universidade Federal Fluminense, Rio de Janeiro, Brazil

*Corresponding Author:: Paulo Eduardo Ocke Reis
Department of Specialized and General Surgery, Fluminense Federal University, Rio de Janeiro, Brazil
Tel: +55 21 2629-5000
E-mail: vascular@pauloocke.com.br

Received Date: January 28, 2021; Accepted Date: March 23, 2021; Published Date: March 30, 2021

Citation: Ocke Reis PE, Guilherme de PA (2021) Stent-Assisted Detachable Coil Embolization of Two Splenic Artery Aneurysms. J Vasc Endovasc Ther. 6 No. 3: 11.

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Image Article

Visceral artery aneurysms (VAAs) challenging cases, as widenecked aneurysms using stent assisted coil embolization (SACE),to treat two splenic aneurysms. The goal of treatment is to prevent aneurysm expansion by excluding it from the arterial circulation, saving branches, patency, and freedom from rupture or reperfusion [1-6].

Step by Step

Figure 1 Splenic artery arteriography showing two saccular splenic aneurysms.

Figure 2 First, treatment of the distal saccular aneurysm with SACE.

vascular-endovascular-therapy-microcatheter

Figure 3 Stent already deployed and the microcatheter inside the distal aneurysm sac.

Figure 4 Saccular aneurysm is filled entirely with coils in an attempt to preserve the parent vessel.

Figure 5 Aneurysm sac was successfully treated, no flow of contrast into the aneurysms sac.

Figure 6 SACE technique was used in both cases, trying to avoid herniation or migration of the coils during the procedure, especially in large necks.

Figure 7 Selectively exclusion of the aneurysms while preserving flow in the native vessel.

vascular-endovascular-therapy-arteriography

Figure 8 Final control arteriography showing the normal flow to the spleen and exclusion of the aneurysms sac.

References

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Hemp JH , Sabri SS (2015)Endovascular management of visceral arterial aneurysms. Techniques Vascular and Interventional Radiology 18: 14-23.
Ocke Reis PE, Roever L, Ocke Reis IF, De Azambuja Fontes F, Rotolo Nascimento M, et al. (2016) Endovascular stent grafting of a deep femoral artery pseudo aneurysm. EJVES Short Rep 26:5-8.
Mkangala AM, Liang H, Dong XJ, Su Y, HaoHao L (2020) Safety and efficacy of conservative, endovascular bare stent and endovascular coil assisting bare stent treatments for patients diagnosed with spontaneous isolated superior mesenteric artery dissection. WideochirInne Tech Maloinwazyjne 15:608-619.
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