| Autor: |
Rinaldi V; Department of Surgery, Sapienza University of Rome, Viale Regina Elena 324, 00161 Rome, Italy., Illuminati G; Department of Surgery, Sapienza University of Rome, Viale Regina Elena 324, 00161 Rome, Italy., Caronna R; Department of Surgery, Sapienza University of Rome, Viale Regina Elena 324, 00161 Rome, Italy., Prezioso G; Department of Surgery, Sapienza University of Rome, Viale Regina Elena 324, 00161 Rome, Italy., Palumbo P; Department of Surgery, Sapienza University of Rome, Viale Regina Elena 324, 00161 Rome, Italy., Saullo P; Department of Surgery, Sapienza University of Rome, Viale Regina Elena 324, 00161 Rome, Italy., D'Andrea V; Department of Surgery, Sapienza University of Rome, Viale Regina Elena 324, 00161 Rome, Italy., Nardi P; Department of Surgery, Sapienza University of Rome, Viale Regina Elena 324, 00161 Rome, Italy. |
| Jazyk: |
angličtina |
| Zdroj: |
Journal of clinical medicine [J Clin Med] 2024 Sep 28; Vol. 13 (19). Date of Electronic Publication: 2024 Sep 28. |
| DOI: |
10.3390/jcm13195793 |
| Abstrakt: |
Background/Objectives : Giant splenic artery aneurysms (SAAs) and pseudoaneurysms (SAPs) represent rare conditions, characterized by a diameter greater than or equal to 5 cm. The risk of rupture is increased compared to common SAAs and SAPs, necessitating urgent treatments to prevent it. Methods : This systematic review was conducted through a comprehensive search involving the PubMed, Google Scholar, and Scopus databases. A total of 82 patients and 65 articles were included in the analysis. For each patient, we investigated age, sex, symptoms, comorbidities, the presence of a true or a false aneurysm, the dimensional criteria used to define dilations as giant aneurysms or pseudoaneurysms, the dimension of the two greatest diameters, imaging studies, surgical treatment, post-operative length of stay (LOS), and post-operative follow-up. Results : The results revealed a similar incidence in both genders (43 males vs. 39 females) with a median age of 55.79 years. The most frequently described symptom was pain (59.76%). Thirteen cases were false aneurysms and 69 were true aneurysms. The mean greatest diameter was 9.90 cm. The CT scan was the most utilized imaging study (80.49%). Open, endovascular, and hybrid surgery were performed in 47, 26, and 9 patients, respectively, with complication rates of 14.89%, 23.08%, and 22.22% occurring for each treatment. The post-operative LOS was 12.29 days, 2.36 days, and 5 days, respectively. The median follow-up was 17.28 months overall. No recanalization was observed after endovascular procedures during the follow-up period. Conclusions : The dimensional criterion to define SAAs and SAPs as giant was most frequently that at least one diameter was ≥ 5 cm. The CT scan was the most frequently utilized radiological study to diagnose giant SAAs and SAPs. Finally, endovascular procedures, open surgeries, and hybrid treatments presented similar post-operative complication rates. The post-operative LOS was lower for the endovascular group, and the follow-up period did not show aneurysm recanalization in any patients. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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