Failure in Endovascular Therapy, Mass Effect, Splanchnic Aneurysm, Surgery
Conditions
Keywords
salvage surgery, failed endovascular therapy, giant aneurysm, mass effect, jaundice, surgery
Brief summary
A retrospective review was performed for consecutive patients (from 2019 to 2021) who underwent salvage surgeries following failed endovascular therapies for splanchnic artery aneurysms in a tertiary referral center. Salvage operations include total aneurysmectomy with vascular reconstruction and partial aneurysmectomy with directly closing bleeders from the intraluminal space of the aneurysms.
Detailed description
Salvage surgery for splanchnic artery aneurysm after failed endovascular trials includes one of the following three strategies: (1) aneurysmectomy along with the involved organ if the aneurysm is located within the parenchyma of solid organs (2) aneurysmectomy with vascular reconstruction if the aneurysm outside the solid organ (3)partial aneurysmectomy with direct closing the feeding vessel orifice if the aneurysm occurs in the hostile abdomen.
Interventions
Complete aneurysmectomy with end-to-end anastomosis for the true aneurysm or partial aneurysmectomy with a direct repair.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients underwent salvage surgeries following failed endovascular therapies for splanchnic artery aneurysms * The aneurysms were diagnosed based on medical history and computed tomography (CT)
Exclusion criteria
* Patients only underwent endovascular therapies for artery aneurysms * The aneurysms are not located at the splanchnic artery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Survival outcomes after surgical intervention | From surgical intervention to the latest follow-up date (i.e., 2023-Jan-20) | Survival outcomes (i.e., overall survival and symptoms-free survival in months) after salvage surgery for the splanchnic aneurysms were collected based on chart reviewing and telephone calls. |
Countries
Taiwan