Patient | Indication | Size and morphology | Aneurysm close to major branch to be preserved | Tortuosity | Wide neck | Techniques | Complications | Follow up |
---|---|---|---|---|---|---|---|---|
1 | Splenic artery aneurysm > 2 cm | 39 mm, bilobed | Yes | Severe | Yes | CASPER 9x30mm and coil embolization of aneurysm sac | No | Complete occlusion at 19 months on Doppler ultrasound |
2 | Two splenic artery aneurysms > 2 cm in post liver transplant patient | Distal 25 mm, saccular, proximal 28 mm sidewall aneurysm | No | Moderate | Yes | CASPER 7x30mm (distal) and coil embolization (proximal) – some concerns with initial stent deployment | No | Complete occlusion on CTA at 13 months post the initial treatment following delayed procedure with deployment of an additional CASPER |
3 | Splenic artery aneurysm > 2 cm | 28 mm, bilobed | No | Severe | Yes | CASPER 8x40mm and coiling of medial branch vessel | Infected splenic infarct resulting in open splenectomy | |
4 | Renal artery aneurysm > 1.5 cm | 31 mm, right renal artery aneurysm | Yes | Mild | Yes | CASPER 9x30mm | No | Reduced size, partially thrombosed on 2 month CTA. Complete aneurysm thrombosis at 12 months ultrasound |
5 | Renal artery aneurysm > 1.5 cm | 24 mm, left renal artery bifurcation aneurysm | Yes | Mild | Yes | CASPER 7x18mm | No | Partial sac thrombosis at 12 month CTA Maximum diameter of flowing component reduced from 24 to 15 mm. |
6 | Renal artery aneurysm > 1.5 cm | 49 mm, right renal artery bifurcation aneurysm | Yes | Mild | Yes | CASPER 7 × 25 mm and Onyx HD-500 | No | Complete thrombosis of aneurysm sac on CTA at 3 months |