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Cardiovascular Surgery and Interventions
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Endovascular flow-diversion of splenic artery aneurysm using double-layer micromesh carotid stent
2025, Vol 12, Num 3 - Page(s): 243-246
197
140
Gokalp Altun1, Mugisha Markior Kyaruzi1, Emrah Ermis2, Ali Civelek1
1Department of Cardiovascular Surgery, İstanbul Aydın University Faculty of Medicine, İstanbul, Türkiye
2Department of Cardiology, İstanbul Aydın University Faculty of Medicine, İstanbul, Türkiye
Keywords: Endovascular treatment, splenic artery aneurysm, visceral artery aneurysm
Splenic artery aneurysms (SAAs) are rare but potentially life-threatening, with rupture rates of 3-10%. While most remain asymptomatic, those larger than 2 cm are at increased rupture risk, necessitating intervention. This report discusses the successful endovascular treatment of a 52-year-old male with a 22×26×24 mm SAA using a double-layer micromesh carotid stent. The procedure involved deploying two overlapping stents, achieving complete aneurysm thrombosis without complications. Endovascular methods, particularly stent grafting, have become preferred due to their lower morbidity compared to open surgery. The use of flexible, flow-diverting stents in tortuous anatomy demonstrates promising results, although further studies are needed for long-term outcomes.
2025, Vol 12, Num 3 - Page(s): 243-246
197
140
Gokalp Altun1, Mugisha Markior Kyaruzi1, Emrah Ermis2, Ali Civelek1
1Department of Cardiovascular Surgery, İstanbul Aydın University Faculty of Medicine, İstanbul, Türkiye
2Department of Cardiology, İstanbul Aydın University Faculty of Medicine, İstanbul, Türkiye
Keywords: Endovascular treatment, splenic artery aneurysm, visceral artery aneurysm
Splenic artery aneurysms (SAAs) are rare but potentially life-threatening, with rupture rates of 3-10%. While most remain asymptomatic, those larger than 2 cm are at increased rupture risk, necessitating intervention. This report discusses the successful endovascular treatment of a 52-year-old male with a 22×26×24 mm SAA using a double-layer micromesh carotid stent. The procedure involved deploying two overlapping stents, achieving complete aneurysm thrombosis without complications. Endovascular methods, particularly stent grafting, have become preferred due to their lower morbidity compared to open surgery. The use of flexible, flow-diverting stents in tortuous anatomy demonstrates promising results, although further studies are needed for long-term outcomes.
DOI : 10.5606/e-cvsi.2025.1886
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