Il trattamento chirurgico ed endovascolare degli aneurismi dell'arteria epatica Esperienza personale

Translated title of the contribution: The surgical and endovascular treatment of the hepatic artery aneurysms: Personal experience

Giovanni Nano, Ilias Dalainas, Paolo Bianchi, Elena Ciarmoli, Giovanni Malacrida, Fabio Ramponi, Domenico G. Tealdi

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

OBJECTIVE: The aim of this single-institution retrospective study is to report the results of surgical and endovascular treatment of hepatic artery aneurysms. MATERIALS AND METHODS: Twenty patients with an extraparenchimal hepatic artery aneurysm made part of the study. In the first period, between February 1980 and December 1996, 12 patients were admitted and treated surgically. In the second period, January 1997 until December 2005, 8 patients were admitted. Four were treated surgically and 4 with an endovascular procedure. The aneurysms ranged from 2.3 cm to 6.2 cm Seventeen patients were asymptomatic, while three were symptomatic for pain and obstructive icterus. In 13 patients aneurysmectomy and graft interposition was performed, in three patients aneurysmectomy with dacron patch interposition was performed, and in 4 patients the aneurysm was excluded with a stent-graft. RESULTS: NO perioperative mortality was noted and no major complication occurred. All endovascular procedures successfully excluded the aneurysm without signs of endoleak. Follow-up in 4 months, 6 months and 10 months postoperatively showed patency of the stent-graft with no signs of migration or endoleak. Only in one case, in the 8th post-operative month, thrombosis of the stent-graft occurred and the patient was completely asymptomatic. CONCLUSION: The natural history of hepatic artery aneurysms is rupture, and consequently there is an indication of treatment. Actually, we consider endovascular treatment as the first-choice-treatment whenever possible. Endovascularlly treated patients need a strict follow-up surveillance by imaging means. Particular attention so be given in the preoperative study of the collateral circulation in patient treated surgically.

Original languageItalian
Pages (from-to)149-152
Number of pages4
JournalAnnali Italiani di Chirurgia
Volume78
Issue number2
Publication statusPublished - Mar 2007

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Hepatic Artery
Aneurysm
Stents
Transplants
Endoleak
Therapeutics
Endovascular Procedures
Collateral Circulation
Polyethylene Terephthalates
Jaundice
Natural History
Rupture
Thrombosis
Retrospective Studies
Pain
Mortality

ASJC Scopus subject areas

  • Surgery

Cite this

Nano, G., Dalainas, I., Bianchi, P., Ciarmoli, E., Malacrida, G., Ramponi, F., & Tealdi, D. G. (2007). Il trattamento chirurgico ed endovascolare degli aneurismi dell'arteria epatica Esperienza personale. Annali Italiani di Chirurgia, 78(2), 149-152.

Il trattamento chirurgico ed endovascolare degli aneurismi dell'arteria epatica Esperienza personale. / Nano, Giovanni; Dalainas, Ilias; Bianchi, Paolo; Ciarmoli, Elena; Malacrida, Giovanni; Ramponi, Fabio; Tealdi, Domenico G.

In: Annali Italiani di Chirurgia, Vol. 78, No. 2, 03.2007, p. 149-152.

Research output: Contribution to journalArticle

Nano, G, Dalainas, I, Bianchi, P, Ciarmoli, E, Malacrida, G, Ramponi, F & Tealdi, DG 2007, 'Il trattamento chirurgico ed endovascolare degli aneurismi dell'arteria epatica Esperienza personale', Annali Italiani di Chirurgia, vol. 78, no. 2, pp. 149-152.
Nano G, Dalainas I, Bianchi P, Ciarmoli E, Malacrida G, Ramponi F et al. Il trattamento chirurgico ed endovascolare degli aneurismi dell'arteria epatica Esperienza personale. Annali Italiani di Chirurgia. 2007 Mar;78(2):149-152.
Nano, Giovanni ; Dalainas, Ilias ; Bianchi, Paolo ; Ciarmoli, Elena ; Malacrida, Giovanni ; Ramponi, Fabio ; Tealdi, Domenico G. / Il trattamento chirurgico ed endovascolare degli aneurismi dell'arteria epatica Esperienza personale. In: Annali Italiani di Chirurgia. 2007 ; Vol. 78, No. 2. pp. 149-152.
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