Technical Considerations and Clinical Outcomes in the Endovascular Management of Celiac Arterial Aneurysms

• Published in: Journal of vascular and interventional radiology Vol. 30; no. 11; pp. 1743 - 1749.e1
• Main Authors: Nzekwu, Emeka, Wang, Alice Y., Mirakhur, Anirudh, Halliwell, Oliver, Bakshi, Darshan
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.11.2019
• Subjects: Adult; Aged; Alberta; Aneurysm - diagnostic imaging; Aneurysm - physiopathology; Aneurysm - surgery; Blood Vessel Prosthesis; Blood Vessel Prosthesis Implantation - adverse effects; Blood Vessel Prosthesis Implantation - instrumentation; Celiac Artery - diagnostic imaging; Celiac Artery - physiopathology; Celiac Artery - surgery; Endoleak - etiology; Endoleak - therapy; Endovascular Procedures - adverse effects; Endovascular Procedures - instrumentation; Female; Humans; Male; Middle Aged; Retreatment; Retrospective Studies; Risk Factors; Stents; Treatment Outcome; Vascular Patency; Alberta; CAA; GDA; LGA; ISR; pPVS; nPVS; PDA; PVS; CHA; SA; CFA
• ISSN: 1051-0443; 1535-7732
• DOI: 10.1016/j.jvir.2019.05.018

This retrospective case series details a single-center experience of 8 patients (mean age, 54.4 years) with celiac artery aneurysms (CAAs) who underwent 1 parent vessel-sparing, 5 partial parent vessel-sparing, and 2 non-parent vessel-sparing procedures. Technical success was achieved in 6 of 8 (75%) patients. Both technical failures arose from type II endoleaks, which spontaneously resolved, resulting in clinical success of all cases. In-stent restenosis requiring reintervention complicated 3 of 5 (60%) partial parent vessel-sparing techniques, with 2 of 3 developing complete thrombosis. Two Society of Interventional Radiology grade C complications were recorded, none of which resulted in permanent sequelae. The endovascular management of CAAs is safe and amenable to various techniques.