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Salvage Surgeries for Splanchnic Artery Aneurysms After Failed Endovascular Therapies: Cases Series

Salvage Surgeries for Splanchnic Artery Aneurysms After Failed Endovascular Therapies: Cases Series

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05727956
Enrollment
5
Registered
2023-02-14
Start date
2019-08-09
Completion date
2023-02-03
Last updated
2023-02-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Failure in Endovascular Therapy, Mass Effect, Splanchnic Aneurysm, Surgery

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

PROCEDUREAneurysmectomy

Complete aneurysmectomy with end-to-end anastomosis for the true aneurysm or partial aneurysmectomy with a direct repair.

Sponsors

China Medical University Hospital
Lead SponsorOTHER

Study design

Observational model
CASE_ONLY
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
ALL
Healthy volunteers
No

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

MeasureTime frameDescription
Survival outcomes after surgical interventionFrom 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

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026