Early Thrombosis of Splenic Artery Stent Graft
Autor: | Nayha Tahir, Om Parkash, Delaram Majlesi, Hafiz Muhammad Jeelani, Sonika Prasad, Lalitha Padmanabha Vemireddy, Maryna Shayuk |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
splenic artery aneurysm medicine.medical_treatment Cardiology endovascular stent graft Splenic artery Liver transplantation stent graft thrombosis Aneurysm medicine.artery medicine Internal Medicine dual anti-platelet therapy cardiovascular diseases medicine.diagnostic_test business.industry General Engineering Stent Digital subtraction angiography medicine.disease Thrombosis Vomiting Portal hypertension splenic infarct Radiology medicine.symptom business |
Zdroj: | Cureus |
ISSN: | 2168-8184 |
Popis: | Splenic artery aneurysms (SAAs) are among the most common visceral aneurysms behind aortic and iliac arteries. Certain factors like aneurysm size (especially giant SAAs), hypertension (HTN), symptomatology, pregnancy, portal hypertension (pHTN), and liver transplantation increase the risk of rupture. Most often found incidentally, but when symptomatic, can present with nonspecific symptoms like nausea, vomiting, anorexia, and epigastric/left upper quadrant pain. Diagnosis can be accomplished with different modalities of CT or MRI and digital subtraction angiography (DSA) being the gold standard for diagnosis. Treatment is usually preferred for aneurysms >2 cm, symptomatic cases, and pregnant women. Various surgical/interventional procedures can be performed and selected based on the patient's sex, age, location of the aneurysm, size of the aneurysm, and presenting complaints/complications. Endovascular techniques with or without stent-graft placement are being used more, given the minimally invasive nature of these procedures. No clear guidelines exist on initiation of dual antiplatelet therapy (DAPT), but based on guidelines from visceral arterial stenting (especially iliac arteries and renal arteries), multiple case reports/series on SAAs, we highly recommend the usage of DAPT pre- and post-stent-graft placement to improve patency. |
Databáze: | OpenAIRE |
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