Analysis of outcomes of endovascular embolisation: A cross-sectional two-center study on 46 visceral artery pseudoaneurysms
Abstract Purpose Visceral artery pseudoaneurysms (VAPAs) are uncommon in clinical practice but may have serious clinical outcomes up to death. Endovascular management is a safe effective alternative option to traditional surgical procedures. This study assesses the outcome of different embolic mater...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2021-07-01
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| Series: | CVIR Endovascular |
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| Online Access: | https://doi.org/10.1186/s42155-021-00248-0 |
| _version_ | 1818672174213365760 |
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| author | Mohammad Koriem Mahmoud Omar Moustafa H M Othman Robert Morgan Abdelkarem Hasan Abdallah Hany Seif Mohamed Zidan Mahmoud Khairallah Reham Abd El-Aleem |
| author_facet | Mohammad Koriem Mahmoud Omar Moustafa H M Othman Robert Morgan Abdelkarem Hasan Abdallah Hany Seif Mohamed Zidan Mahmoud Khairallah Reham Abd El-Aleem |
| author_sort | Mohammad Koriem Mahmoud Omar |
| collection | DOAJ |
| description | Abstract Purpose Visceral artery pseudoaneurysms (VAPAs) are uncommon in clinical practice but may have serious clinical outcomes up to death. Endovascular management is a safe effective alternative option to traditional surgical procedures. This study assesses the outcome of different embolic materials and techniques used in the endovascular management of VAPAs. Materials and methods This is a two-center retrospective analysis of endovascular embolisation of 46 VAPAs, with a mean pseudoaneurysm size of 13 ± 11.35 mm, that were urgently managed between July 2018 and March 2020. Patients’ presentations were GIT hemorrhage, intrabdominal hemorrhage, hematuria, and abdominal pain in 34.78%, 30.43%, 23.91%, and 10.87% respectively. Management using coils only was done in 28/46 patients (60.87%), NBCA glue only in 16/46 patients (34.78%), combined coils and NBCA glue in 1/46 patient (2.17%), and Amplatzer plugs only in 1 patient (2.17%). The management techniques were sac packing in 9/46 patients (19.57%), inflow occlusion in 28/46 patients (60.87%) and trapping in 9/46 patients (19.57%). All patients were followed-up for 1 year after the procedure. Results The overall clinical success and periprocedural complication rates were 93.48%, and 15.22% respectively, and 30-day mortality was zero. Clinical success was 92.86% in the coil subgroup (n = 28), and 93.75% in the NBCA glue subgroup (n = 16). The technical success rate was 100%. Effectiveness of the procedures during the follow-up was 97.83%. Target lesion re-intervention rate was 2.17%. Conclusion Transarterial embolisation can provide high technical and clinical success rates with low periprocedural complication and re-intervention rates, as well as satisfactory procedure effectiveness in the management of VAPAs. |
| first_indexed | 2024-12-17T07:35:42Z |
| format | Article |
| id | doaj.art-e7424643b3954b4786b668a2785525a4 |
| institution | Directory Open Access Journal |
| issn | 2520-8934 |
| language | English |
| last_indexed | 2024-12-17T07:35:42Z |
| publishDate | 2021-07-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | CVIR Endovascular |
| spelling | doaj.art-e7424643b3954b4786b668a2785525a42022-12-21T21:58:21ZengSpringerOpenCVIR Endovascular2520-89342021-07-014111510.1186/s42155-021-00248-0Analysis of outcomes of endovascular embolisation: A cross-sectional two-center study on 46 visceral artery pseudoaneurysmsMohammad Koriem Mahmoud Omar0Moustafa H M Othman1Robert Morgan2Abdelkarem Hasan Abdallah3Hany Seif4Mohamed Zidan5Mahmoud Khairallah6Reham Abd El-Aleem7Department of Diagnostic and Interventional Radiology, Assiut University HospitalsDepartment of Diagnostic and Interventional Radiology, Assiut University HospitalsDepartment of Interventional Radiology, St. George’s University Hospitals NHS Foundation TrustDepartment of Diagnostic and Interventional Radiology, Assiut University HospitalsDepartment of Diagnostic and Interventional Radiology, Assiut University HospitalsDepartment of Diagnostic and Interventional Radiology, Assiut University HospitalsDepartment of Diagnostic and Interventional Radiology, Assiut University HospitalsDepartment of Diagnostic and Interventional Radiology, Assiut University HospitalsAbstract Purpose Visceral artery pseudoaneurysms (VAPAs) are uncommon in clinical practice but may have serious clinical outcomes up to death. Endovascular management is a safe effective alternative option to traditional surgical procedures. This study assesses the outcome of different embolic materials and techniques used in the endovascular management of VAPAs. Materials and methods This is a two-center retrospective analysis of endovascular embolisation of 46 VAPAs, with a mean pseudoaneurysm size of 13 ± 11.35 mm, that were urgently managed between July 2018 and March 2020. Patients’ presentations were GIT hemorrhage, intrabdominal hemorrhage, hematuria, and abdominal pain in 34.78%, 30.43%, 23.91%, and 10.87% respectively. Management using coils only was done in 28/46 patients (60.87%), NBCA glue only in 16/46 patients (34.78%), combined coils and NBCA glue in 1/46 patient (2.17%), and Amplatzer plugs only in 1 patient (2.17%). The management techniques were sac packing in 9/46 patients (19.57%), inflow occlusion in 28/46 patients (60.87%) and trapping in 9/46 patients (19.57%). All patients were followed-up for 1 year after the procedure. Results The overall clinical success and periprocedural complication rates were 93.48%, and 15.22% respectively, and 30-day mortality was zero. Clinical success was 92.86% in the coil subgroup (n = 28), and 93.75% in the NBCA glue subgroup (n = 16). The technical success rate was 100%. Effectiveness of the procedures during the follow-up was 97.83%. Target lesion re-intervention rate was 2.17%. Conclusion Transarterial embolisation can provide high technical and clinical success rates with low periprocedural complication and re-intervention rates, as well as satisfactory procedure effectiveness in the management of VAPAs.https://doi.org/10.1186/s42155-021-00248-0EndovascularEmbolisationCoilsNBCAGlueVisceral |
| spellingShingle | Mohammad Koriem Mahmoud Omar Moustafa H M Othman Robert Morgan Abdelkarem Hasan Abdallah Hany Seif Mohamed Zidan Mahmoud Khairallah Reham Abd El-Aleem Analysis of outcomes of endovascular embolisation: A cross-sectional two-center study on 46 visceral artery pseudoaneurysms CVIR Endovascular Endovascular Embolisation Coils NBCA Glue Visceral |
| title | Analysis of outcomes of endovascular embolisation: A cross-sectional two-center study on 46 visceral artery pseudoaneurysms |
| title_full | Analysis of outcomes of endovascular embolisation: A cross-sectional two-center study on 46 visceral artery pseudoaneurysms |
| title_fullStr | Analysis of outcomes of endovascular embolisation: A cross-sectional two-center study on 46 visceral artery pseudoaneurysms |
| title_full_unstemmed | Analysis of outcomes of endovascular embolisation: A cross-sectional two-center study on 46 visceral artery pseudoaneurysms |
| title_short | Analysis of outcomes of endovascular embolisation: A cross-sectional two-center study on 46 visceral artery pseudoaneurysms |
| title_sort | analysis of outcomes of endovascular embolisation a cross sectional two center study on 46 visceral artery pseudoaneurysms |
| topic | Endovascular Embolisation Coils NBCA Glue Visceral |
| url | https://doi.org/10.1186/s42155-021-00248-0 |
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