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Treatment Algorithm of Peripancreatic Arteries Aneurysm Coexisting with Coeliac Artery Lesion: Single Institution Experience
المؤلفون المشاركون
Nazarewski, Sławomir
Grabowska-Derlatka, Laretta
Antoniak, Robert
Maciąg, Rafał
Ostrowski, Tomasz
Nawrot, Ireneusz
Gałązka, Zbigniew
Rowiński, Olgierd
المصدر
العدد
المجلد 2018، العدد 2018 (31 ديسمبر/كانون الأول 2018)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2018-07-18
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Introduction.
True aneurysms of peripancreatic arterial arcades (PAAAs) coexisting with celiac axis lesion are often asymptomatic.
However, they may rupture regardless of their size and cause life-threatening hypovolemia.
No treatment guidelines exist to date.
We present a series of 21 patients and our management algorithm.
Material and Methods.
For ruptured aneurysms we preformed endovascular embolization.
Further treatment was dependent on patient’s condition and control studies.
In case of unruptured aneurysms, we assessed collateral circulation between superior mesenteric artery and celiac axis in angio-CT.
If there was a pathway free from aneurysms, endovascular approach was chosen.
Otherwise, surgical or combined treatment was favored.
Results.
Endovascular treatment was performed in 14 patients with no complications.
Follow-up studies revealed incomplete occlusion of the aneurysms in two cases.
Surgical or combined treatment was performed in 7 patients with three serious perioperative complications.
They were managed conservatively in two cases and surgically in one.
Follow-up studies showed aneurismal dilatation and stenosis of a renohepatic by-pass in one case.
Conclusion.
We present our management algorithm of PAAAs.
Our results support the leading role of endovascular treatment.
We present its limitations favoring surgical or combined treatment.
All patients should be carefully followed.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Antoniak, Robert& Grabowska-Derlatka, Laretta& Maciąg, Rafał& Ostrowski, Tomasz& Nawrot, Ireneusz& Gałązka, Zbigniew…[et al.]. 2018. Treatment Algorithm of Peripancreatic Arteries Aneurysm Coexisting with Coeliac Artery Lesion: Single Institution Experience. BioMed Research International،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1127482
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Antoniak, Robert…[et al.]. Treatment Algorithm of Peripancreatic Arteries Aneurysm Coexisting with Coeliac Artery Lesion: Single Institution Experience. BioMed Research International No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1127482
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Antoniak, Robert& Grabowska-Derlatka, Laretta& Maciąg, Rafał& Ostrowski, Tomasz& Nawrot, Ireneusz& Gałązka, Zbigniew…[et al.]. Treatment Algorithm of Peripancreatic Arteries Aneurysm Coexisting with Coeliac Artery Lesion: Single Institution Experience. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1127482
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1127482
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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