Endovascular management of pseudoaneurysms of the splenic artery: Experience with six patients

S. K. Venkatesh, S. Kumar, S. S. Baijal, R. V. Phadke, M. K. Kathuria, R. B. Gujral

Research output: Contribution to journalArticlepeer-review

21 Scopus citations

Abstract

The purpose of this paper was to describe our experience with the endovascular management of splenic artery pseudoaneurysms (SAPA). Seven patients with documented SAPA on CT and/or angiography were considered for endovascular treatment. The pseudoaneurysms were located in the main splenic artery (n = 4) or its branches (n = 3). In one patient in whom the pseudoaneurysm was located in a hilar branch, selective catheterization of splenic artery failed. Metallic coils (n = 1), gelfoam and hydrogel particles (n = 1), metallic coils and gelfoam (n = 2), metallic coil, gelfoam and acrylic glue (n = 2) were used as embolization material in the remaining six patients. These patients were followed for a mean period of 11.3 months. Transcatheter embolization was successful in five patients with no procedure-related complications. In one patient, embolization was incomplete and the patient underwent surgery, but died on the 10th postoperative day because of irreversible shock. Another patient, after successful embolization, underwent surgery for management of an associated pseudocyst. Endovascular treatment is a safe and effective method of management of SAPA.

Original languageEnglish (US)
Pages (from-to)283-288
Number of pages6
JournalAustralasian Radiology
Volume49
Issue number4
DOIs
StatePublished - Aug 1 2005
Externally publishedYes

Keywords

  • Embolization
  • Pseudoaneurysms
  • Splenic artery

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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