What is it about?
De Bakey and Cooley did the first successful operation for a visceral artery aneurysm (VAA) in 1953 . They are relatively rare and the risk of rupture is associated with high mortality . The majority of patients are asymptomatic prior to rupture and the main indication of elective treatment is size; VAA larger than 2 cm and aneurysms in women of childbearing age is recommended . The goal of treatment is to prevent aneurysm expansion by excluding it from the arterial circulation saving branchs patency and freedom from rupture or reperfusion. Surgery has been considered the treatment of VAA for several decades, but now a days endovascular procedures as embolization or covered stents have increased the treatment options available to comorbid patients not suitable for open repair.
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Why is it important?
The goal of treatment is to prevent aneurysm expansion by excluding it from the arterial circulation saving branchs patency and freedom from rupture or reperfusion. Surgery has been considered the treatment of VAA for several decades, but now a days endovascular procedures as embolization or covered stents have increased the treatment options available to comorbid patients not suitable for open repair.
Perspectives
The advances with embolization techniques in the last decades are quite evident, and the field of endovascular surgery and minimally invasive techniques has accompanied this development, aiming at overcoming its limitations. However still needs improvement when it comes to long-term evaluation. The technological advances and the development of new devices that may significantly help and provide effective and safe results in the treatment of those patients with VAA.
Professor Paulo Eduardo Ocke Reis
Universidade Federal Fluminense
Read the Original
This page is a summary of: Embolization for Visceral Artery Aneurisms: What s Your Opinion?, Journal of Vascular and Endovascular Surgery, January 2016, Scitechnol Biosoft Pvt. Ltd.,
DOI: 10.21767/2573-4482.10001.
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