Salvage Surgeries for Splanchnic Artery Aneurysms After Failed Endovascular Therapies: Cases Series
1 other identifier
observational
5
1 country
1
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Aug 2019
Typical duration for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 9, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 20, 2023
CompletedFirst Submitted
Initial submission to the registry
February 3, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
February 3, 2023
CompletedFirst Posted
Study publicly available on registry
February 14, 2023
CompletedFebruary 14, 2023
February 1, 2023
3.5 years
February 3, 2023
February 13, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Survival outcomes after surgical intervention
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.
From surgical intervention to the latest follow-up date (i.e., 2023-Jan-20)
Interventions
Complete aneurysmectomy with end-to-end anastomosis for the true aneurysm or partial aneurysmectomy with a direct repair.
Eligibility Criteria
Patients who received surgical salvages after failed endovascular therapies for splanchnic arterial aneurysms in a tertiary university hospital (China Medical University Hospital, Taichung, Taiwan) between 2019 and 2021.
You may qualify if:
- Patients underwent salvage surgeries following failed endovascular therapies for splanchnic artery aneurysms
- The aneurysms were diagnosed based on medical history and computed tomography (CT)
You may not qualify if:
- Patients only underwent endovascular therapies for artery aneurysms
- The aneurysms are not located at the splanchnic artery
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
China Medical University Hospital, Department of Surgery
Taichung, Taiwan
Related Publications (38)
ATLS Subcommittee; American College of Surgeons' Committee on Trauma; International ATLS working group. Advanced trauma life support (ATLS(R)): the ninth edition. J Trauma Acute Care Surg. 2013 May;74(5):1363-6. doi: 10.1097/TA.0b013e31828b82f5. No abstract available.
PMID: 23609291BACKGROUNDAkbulut S, Otan E. Management of Giant Splenic Artery Aneurysm: Comprehensive Literature Review. Medicine (Baltimore). 2015 Jul;94(27):e1016. doi: 10.1097/MD.0000000000001016.
PMID: 26166071BACKGROUNDPulli R, Dorigo W, Troisi N, Pratesi G, Innocenti AA, Pratesi C. Surgical treatment of visceral artery aneurysms: A 25-year experience. J Vasc Surg. 2008 Aug;48(2):334-42. doi: 10.1016/j.jvs.2008.03.043.
PMID: 18644480RESULTTipaldi MA, Krokidis M, Orgera G, Pignatelli M, Ronconi E, Laurino F, Laghi A, Rossi M. Endovascular management of giant visceral artery aneurysms. Sci Rep. 2021 Jan 12;11(1):700. doi: 10.1038/s41598-020-80150-2.
PMID: 33436829RESULTPasha SF, Gloviczki P, Stanson AW, Kamath PS. Splanchnic artery aneurysms. Mayo Clin Proc. 2007 Apr;82(4):472-9. doi: 10.4065/82.4.472.
PMID: 17418076RESULTShukla AJ, Eid R, Fish L, Avgerinos E, Marone L, Makaroun M, Chaer RA. Contemporary outcomes of intact and ruptured visceral artery aneurysms. J Vasc Surg. 2015 Jun;61(6):1442-7. doi: 10.1016/j.jvs.2015.01.005. Epub 2015 Mar 7.
PMID: 25752692RESULTChaer RA, Abularrage CJ, Coleman DM, Eslami MH, Kashyap VS, Rockman C, Murad MH. The Society for Vascular Surgery clinical practice guidelines on the management of visceral aneurysms. J Vasc Surg. 2020 Jul;72(1S):3S-39S. doi: 10.1016/j.jvs.2020.01.039. Epub 2020 Mar 20.
PMID: 32201007RESULTTetreau R, Beji H, Henry L, Valette PJ, Pilleul F. Arterial splanchnic aneurysms: Presentation, treatment and outcome in 112 patients. Diagn Interv Imaging. 2016 Jan;97(1):81-90. doi: 10.1016/j.diii.2015.06.014. Epub 2015 Aug 17.
PMID: 26292616RESULTSpiliopoulos S, Sabharwal T, Karnabatidis D, Brountzos E, Katsanos K, Krokidis M, Gkoutzios P, Siablis D, Adam A. Endovascular treatment of visceral aneurysms and pseudoaneurysms: long-term outcomes from a multicenter European study. Cardiovasc Intervent Radiol. 2012 Dec;35(6):1315-25. doi: 10.1007/s00270-011-0312-x. Epub 2011 Dec 7.
PMID: 22146976RESULTPang TC, Maher R, Gananadha S, Hugh TJ, Samra JS. Peripancreatic pseudoaneurysms: a management-based classification system. Surg Endosc. 2014 Jul;28(7):2027-38. doi: 10.1007/s00464-014-3434-9. Epub 2014 Feb 12.
PMID: 24519028RESULTMarone EM, Mascia D, Kahlberg A, Brioschi C, Tshomba Y, Chiesa R. Is open repair still the gold standard in visceral artery aneurysm management? Ann Vasc Surg. 2011 Oct;25(7):936-46. doi: 10.1016/j.avsg.2011.03.006. Epub 2011 May 28.
PMID: 21620671RESULTBarrionuevo P, Malas MB, Nejim B, Haddad A, Morrow A, Ponce O, Hasan B, Seisa M, Chaer R, Murad MH. A systematic review and meta-analysis of the management of visceral artery aneurysms. J Vasc Surg. 2020 Jul;72(1S):40S-45S. doi: 10.1016/j.jvs.2020.05.018.
PMID: 32553135RESULTAndroulakakis Z, Paspatis G, Hatzidakis A, Kokkinaki M, Papanicolaou N, Grammatikakis I, Liapi D, Kandylakis S. Gastric outlet obstruction caused by a giant gastroduodenal artery aneurysm: a case report. Eur J Gastroenterol Hepatol. 2001 Jan;13(1):59-61. doi: 10.1097/00042737-200101000-00011.
PMID: 11204812RESULTSaftoiu A, Iordache S, Ciurea T, Dumitrescu D, Popescu M, Stoica Z. Pancreatic pseudoaneurysm of the superior mesenteric artery complicated with obstructive jaundice. A case report. JOP. 2005 Jan 13;6(1):29-35.
PMID: 15650282RESULTChapman BM, Bolton JS, Gioe SM, Conway WC. Gastroduodenal Artery Pseudoaneurysm Causing Obstructive Jaundice. Ochsner J. 2021 Spring;21(1):104-107. doi: 10.31486/toj.19.0110.
PMID: 33828434RESULTJesinger RA, Thoreson AA, Lamba R. Abdominal and pelvic aneurysms and pseudoaneurysms: imaging review with clinical, radiologic, and treatment correlation. Radiographics. 2013 May;33(3):E71-96. doi: 10.1148/rg.333115036.
PMID: 23674782RESULTMadhusudhan KS, Venkatesh HA, Gamanagatti S, Garg P, Srivastava DN. Interventional Radiology in the Management of Visceral Artery Pseudoaneurysms: A Review of Techniques and Embolic Materials. Korean J Radiol. 2016 May-Jun;17(3):351-63. doi: 10.3348/kjr.2016.17.3.351. Epub 2016 Apr 14.
PMID: 27134524RESULTZabicki B, Limphaibool N, Holstad MJV, Juszkat R. Endovascular management of pancreatitis-related pseudoaneurysms: A review of techniques. PLoS One. 2018 Jan 29;13(1):e0191998. doi: 10.1371/journal.pone.0191998. eCollection 2018.
PMID: 29377944RESULTLopera JE. Embolization in trauma: principles and techniques. Semin Intervent Radiol. 2010 Mar;27(1):14-28. doi: 10.1055/s-0030-1247885.
PMID: 21359011RESULTAlsafi A, Bicknell CD, Rudarakanchana N, Kashef E, Gibbs RG, Cheshire NJ, Jenkins MP, Hamady M. Endovascular treatment of thoracic aortic aneurysms with a short proximal landing zone using scalloped endografts. J Vasc Surg. 2014 Dec;60(6):1499-506. doi: 10.1016/j.jvs.2014.08.062. Epub 2014 Sep 26.
PMID: 25264365RESULTLeyon JJ, Littlehales T, Rangarajan B, Hoey ET, Ganeshan A. Endovascular embolization: review of currently available embolization agents. Curr Probl Diagn Radiol. 2014 Jan-Feb;43(1):35-53. doi: 10.1067/j.cpradiol.2013.10.003.
PMID: 24290201RESULTZyromski NJ, Vieira C, Stecker M, Nakeeb A, Pitt HA, Lillemoe KD, Howard TJ. Improved outcomes in postoperative and pancreatitis-related visceral pseudoaneurysms. J Gastrointest Surg. 2007 Jan;11(1):50-5. doi: 10.1007/s11605-006-0038-2.
PMID: 17390186RESULTten Broek RP, Issa Y, van Santbrink EJ, Bouvy ND, Kruitwagen RF, Jeekel J, Bakkum EA, Rovers MM, van Goor H. Burden of adhesions in abdominal and pelvic surgery: systematic review and met-analysis. BMJ. 2013 Oct 3;347:f5588. doi: 10.1136/bmj.f5588.
PMID: 24092941RESULTBiondetti P, Fumarola EM, Ierardi AM, Carrafiello G. Bleeding complications after pancreatic surgery: interventional radiology management. Gland Surg. 2019 Apr;8(2):150-163. doi: 10.21037/gs.2019.01.06.
PMID: 31183325RESULTGrego FG, Lepidi S, Ragazzi R, Iurilli V, Stramana R, Deriu GP. Visceral artery aneurysms: a single center experience. Cardiovasc Surg. 2003 Feb;11(1):19-25. doi: 10.1016/s0967-2109(02)00121-7.
PMID: 12543567RESULTKrupski WC, Selzman CH, Floridia R, Strecker PK, Nehler MR, Whitehill TA. Contemporary management of isolated iliac aneurysms. J Vasc Surg. 1998 Jul;28(1):1-11; discussion 11-3. doi: 10.1016/s0741-5214(98)70194-6.
PMID: 9685125RESULTMoini M, Rasouli MR, Rayatzadeh H, Sheikholeslami G. Management of femoral artery pseudo-aneurysms in Iran: a single centre report of 50 cases. Acta Chir Belg. 2008 Mar-Apr;108(2):226-30. doi: 10.1080/00015458.2008.11680208.
PMID: 18557148RESULTHaseen MA, Faizan M, Beg MH, Asif N, Khalid S. Femoral artery pseudoaneurysm following trivial trauma: a rare case scenario. Indian Journal of Thoracic and Cardiovascular Surgery. 2015;31(1):34-7
RESULTSaltzberg SS, Maldonado TS, Lamparello PJ, Cayne NS, Nalbandian MM, Rosen RJ, Jacobowitz GR, Adelman MA, Gagne PJ, Riles TS, Rockman CB. Is endovascular therapy the preferred treatment for all visceral artery aneurysms? Ann Vasc Surg. 2005 Jul;19(4):507-15. doi: 10.1007/s10016-005-4725-3.
PMID: 15986089RESULTTulsyan N, Kashyap VS, Greenberg RK, Sarac TP, Clair DG, Pierce G, Ouriel K. The endovascular management of visceral artery aneurysms and pseudoaneurysms. J Vasc Surg. 2007 Feb;45(2):276-83; discussion 283. doi: 10.1016/j.jvs.2006.10.049.
PMID: 17264002RESULTHemp JH, Sabri SS. Endovascular management of visceral arterial aneurysms. Tech Vasc Interv Radiol. 2015 Mar;18(1):14-23. doi: 10.1053/j.tvir.2014.12.003. Epub 2014 Dec 29.
PMID: 25814199RESULTBougle A, Harrois A, Duranteau J. Resuscitative strategies in traumatic hemorrhagic shock. Ann Intensive Care. 2013 Jan 12;3(1):1. doi: 10.1186/2110-5820-3-1.
PMID: 23311726RESULTCoccolini F, Montori G, Catena F, Kluger Y, Biffl W, Moore EE, Reva V, Bing C, Bala M, Fugazzola P, Bahouth H, Marzi I, Velmahos G, Ivatury R, Soreide K, Horer T, Ten Broek R, Pereira BM, Fraga GP, Inaba K, Kashuk J, Parry N, Masiakos PT, Mylonas KS, Kirkpatrick A, Abu-Zidan F, Gomes CA, Benatti SV, Naidoo N, Salvetti F, Maccatrozzo S, Agnoletti V, Gamberini E, Solaini L, Costanzo A, Celotti A, Tomasoni M, Khokha V, Arvieux C, Napolitano L, Handolin L, Pisano M, Magnone S, Spain DA, de Moya M, Davis KA, De Angelis N, Leppaniemi A, Ferrada P, Latifi R, Navarro DC, Otomo Y, Coimbra R, Maier RV, Moore F, Rizoli S, Sakakushev B, Galante JM, Chiara O, Cimbanassi S, Mefire AC, Weber D, Ceresoli M, Peitzman AB, Wehlie L, Sartelli M, Di Saverio S, Ansaloni L. Splenic trauma: WSES classification and guidelines for adult and pediatric patients. World J Emerg Surg. 2017 Aug 18;12:40. doi: 10.1186/s13017-017-0151-4. eCollection 2017.
PMID: 28828034RESULTKossak J, Janik J, Debski J, Rytlewski R, Salacinski A. Pseudoaneurysm of the gastroduodenal artery as a cause of obstructive jaundice. Med Sci Monit. 2001 Jul-Aug;7(4):759-61.
PMID: 11433208RESULTDonmez H, Men S, Dilli A, Soylu SO, Hekimoglu B. Giant gastroduodenal artery pseudoaneurysm due to polyarteritis nodosa as a cause of obstructive jaundice: imaging findings and coil embolization results. Cardiovasc Intervent Radiol. 2005 Nov-Dec;28(6):850-3. doi: 10.1007/s00270-004-0313-0. No abstract available.
PMID: 16132389RESULTHamid HKS, Suliman AEA, Spiliopoulos S, Zabicki B, Tetreau R, Piffaretti G, Tozzi M. Giant Splenic Artery Pseudoaneurysms: Two Case Reports and Cumulative Review of the Literature. Ann Vasc Surg. 2020 Apr;64:382-388. doi: 10.1016/j.avsg.2019.10.061. Epub 2019 Oct 30.
PMID: 31676381RESULTBlomley MJ, Jackson JE. Case report: a gastroduodenal artery pseudoaneurysm presenting with obstructive jaundice and treated by arterial embolization. Clin Radiol. 1994 Oct;49(10):715-8. doi: 10.1016/s0009-9260(05)82668-6.
PMID: 7794312RESULTSachdev U, Baril DT, Ellozy SH, Lookstein RA, Silverberg D, Jacobs TS, Carroccio A, Teodorescu VJ, Marin ML. Management of aneurysms involving branches of the celiac and superior mesenteric arteries: a comparison of surgical and endovascular therapy. J Vasc Surg. 2006 Oct;44(4):718-24. doi: 10.1016/j.jvs.2006.06.027.
PMID: 17011997RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Chun-Chieh Yeh, M.D.
China Medical University Hospital
Study Design
- Study Type
- observational
- Observational Model
- CASE ONLY
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Clinical Professor of General Surgery
Study Record Dates
First Submitted
February 3, 2023
First Posted
February 14, 2023
Study Start
August 9, 2019
Primary Completion
January 20, 2023
Study Completion
February 3, 2023
Last Updated
February 14, 2023
Record last verified: 2023-02
Data Sharing
- IPD Sharing
- Will not share