Analysis of outcomes of endovascular embolisation: A cross-sectional two-center study on 46 visceral artery pseudoaneurysms

Omar, Mohammad Koriem Mahmoud; Othman, Moustafa H M; Morgan, Robert; Abdallah, Abdelkarem Hasan; Seif, Hany; Zidan, Mohamed; Khairallah, Mahmoud; El-Aleem, Reham Abd

doi:10.1186/s42155-021-00248-0

CVIR Endovascular

Table 4 Pathophysiological criteria of the pseudoaneurysms treated with coils and their management techniques and outcomes

From: Analysis of outcomes of endovascular embolisation: A cross-sectional two-center study on 46 visceral artery pseudoaneurysms

N	Anatomy	Morphology	Co-Morbidities & risk factors/ Presentation	Urgent or elective management	Embolisation technique	Embolic material	Technical success	Complications	Clinical success	Effectiveness of the procedure	Target lesion Re-intervention
1	GDA	44.5 mm Saccular aneurysm	Iatrogenic (Post percutaneous needle biopsy)/ Abdominal pain	Urgent	Trapping	3 detachable micro coils	Yes	No	Yes	Yes	No
2	GDA	2.5 mm saccular aneurysm	Penetrating duodenal ulcer/ GIT bleeding	Urgent	Sac packing	2 pushable coils	Yes	No	Yes	Yes	No
3	GDA	10.5 mm saccular aneurysm	Pancreatitis/ Intrabdominal hemorrhage	Urgent	Trapping with sac packing	3 detachable micro coils	Yes	No	Yes	Yes	No
4	GDA	26.5 mm saccular aneurysm	Penetrating duodenal ulcer/ GIT bleeding	Urgent	Trapping with occlusion of the collaterals	3 detachable micro coils	Yes	No	Yes	Yes	No
5	IMA	14.5 mm saccular aneurysm	Iatrogenic (Post lumbar discectomy)/ GIT bleeding	Urgent	Trapping	2 detachable micro coils	Yes	No	Yes	Yes	No
6	GDA	15 mm saccular aneurysm	Penetrating duodenal ulcer/ GIT bleeding	Urgent	Trapping	2 detachable micro coils	Yes	No	Yes	Yes	No
7	GDA	15 mm saccular aneurysm	Pancreatitis/ Abdominal pain	Urgent	Trapping	3 detachable micro coils	Yes	No	Yes	Yes	No
8	Pancreaticoduodenal a	3 mm saccular aneurysm	Iatrogenic (Post percutaneous needle biopsy)/ Intrabdominal hemorrhage	Urgent	Trapping	3 detachable micro coils	Yes	No	Yes	Yes	No
9	IMA	4 mm saccular aneurysm	Iatrogenic (Post colonscopic polypectomy) / GIT bleeding	Urgent	Trapping with sac packing	3 detachable micro coils	Yes	No	Yes	Yes	No
10	Cystic a	7 mm saccular aneurysm	Iatrogenic (Post ERCP)/ GIT bleeding and haemobilia	Urgent	Sac packing	Single detachable micro coil	Yes	Grade 3 (Re-bleeding required re-intervention)	No	No (Re-filling of the aneurysmal sac on follow up)	Yes (Sac packing then inflow occlusion by NBCA)
11	RT RA	3 mm saccular aneurysm	Iatrogenic (Post pyelolithotomy)/ Hematuria	Urgent	Inflow occlusion	Single pushable coil	Yes	No	Yes	Yes	No
12	LT RA	20 mm saccular aneurysm	Iatrogenic (Post pyelolithotomy)/ Hematuria	Urgent	Inflow occlusion	2 pushable coils	Yes	Grade 2 (Mild post embolisation syndrome)	Yes	Yes	No
13	Pancreaticoduodenal a	27 mm saccular aneurysm	Penetrating duodenal ulcer/ Intrabdominal hemorrhage	Urgent	Inflow occlusion	2 detachable micro coils	Yes	No	Yes	Yes	No
14	SMA	34 mm saccular aneurysm	Vasculitis/ Intraabdominal hemorrhage	Urgent	inflow occlusion	3 detachable micro coils	Yes	No	Yes	Yes	No
15	Pancreaticoduodenal a	19.75 mm saccular aneurysm	Penetrating duodenal ulcer/ Intrabdominal hemorrhage	Urgent	Inflow occlusion	2 detachable micro coils	Yes	No	Yes	Yes	No
16	RT RA	5.5 mm saccular aneurysm	Iatrogenic (Post percutaneous needle biopsy)/ Hematuria	Urgent	Inflow occlusion	2 pushable coils	Yes	No	Yes	Yes	No
17	RT RA	5 mm saccular aneurysm	Iatrogenic (post percutaneous needle biopsy)/ Hematuria	Urgent	Inflow occlusion	Single pushable coil	Yes	No	Yes	Yes	No
18	LT RA	14.1 mm saccular aneurysm	Iatrogenic (Post percutaneous needle biopsy)/ Intrabdominal hemorrhage	Urgent	Inflow occlusion	2 pushable coils	Yes	No	Yes	Yes	No
19	RT RA	3 mm saccular aneurysm	Iatrogenic (Post pyelolithotomy)/ Hematuria	Urgent	Inflow occlusion	2 pushable coils	Yes	No	Yes	Yes	No
20	RT RA	3.5 mm saccular aneurysm	Iatrogenic (Post percutaneous needle biopsy)/ Intrabdominal hemorrhage	Urgent	Inflow occlusion	2 detachable micro coils	Yes	No	Yes	Yes	No
21	LT RA	33.5 mm saccular aneurysm	Septic emboli/ Abdominal pain	Urgent	Inflow occlusion	3 detachable micro coils	Yes	No	Yes	Yes	No
22	SA	3.5 mm saccular aneurysm	Trauma/ Intrabdominal hemorrhage	Urgent	Inflow occlusion	2 pushable micro coils	Yes	No	Yes	Yes	No
23	SMA	2 mm saccular aneurysm	Iatrogenic (Post inguinal hernia repair)/ GIT bleeding	Urgent	Inflow occlusion	2 detachable micro coils	Yes	Grade 4 (Bowel loop ischemia)	No	Yes	No
24	SMA	5 mm saccular aneurysm	Iatrogenic (Post colonscopic polypectomy)/ GIT bleeding	Urgent	Inflow occlusion	3 detachable micro coils	Yes	Grade 2 (Mild post embolisation syndrome)	Yes	Yes	No
25	SMA	2.2 mm saccular aneurysm	Iatrogenic (Post colonscopic polypectomy)/ GIT bleeding	Urgent	Inflow occlusion	2 detachable micro coils	Yes	No	Yes	Yes	No
26	SMA	3.2 mm saccular aneurysm	Iatrogenic (Post colonscopic polypectomy)/ GIT bleeding	Urgent	Inflow occlusion	2 detachable micro coils	Yes	No	Yes	Yes	No
27	SMA	5.1 mm saccular aneurysm	Iatrogenic (Post colonscopic polypectomy)/ GIT bleeding	Urgent	Inflow occlusion	2 detachable micro coils	Yes	No	Yes	Yes	No
28	IMA	5 mm saccular aneurysm	Diverticula / GIT bleeding	Urgent	Inflow occlusion	2 detachable micro coils	Yes	No	Yes	Yes	No

GDA gastroduodenal artery, IMA inferior mesenteric artery, RA renal artery, SMA superior mesenteric artery, SA splenic artery

Back to article page