The minimally invasive management of visceral XXXX and @entity2849 .

@entity1 @entity439 @entity2849 @entity438
OBJECTIVE: Minimally invasive methods (MIMs) are now available for the management of visceral @entity438 and @entity2849 (visceral @entity438 [VAA]). The purpose of this study was to review our 10-year experience with the MIM of treating VAA. METHODS: All @entity1 evaluated from June 1999 to June 2009 with VAAs were reviewed. Demographics, therapy, and results were analyzed. RESULTS: MIM was attempted in 185 @entity439 in 176 @entity1 . Initial intervention was successful in 98% ofaneurysms. Sixty-three (34%) @entity439 were located in the splenic artery, 56 (30%) in the hepatic, 28 (15%) in the gastroduodenal, 16 (8.6%) in the pancreaticoduodenal, six (3.2%) in the superior mesenteric, four (2.1%) in the gastric, four (2.1%) in the celiac, four (2.1%) in the gastroepiploic, two (1%) in the inferior mesenteric, and one (0.5%) in the middle colic artery. @entity2849 were more common than true @entity439 (64% vs 36%). Bleeding was the indication for intervention in 86 @entity439 (46%). Initial treatment was successful in 177 @entity439 (98%). Reintervention was required in five (3%) @entity439 within 30 days. Coiling was used alone in 139 @entity439 (75%) and in combination with at least one other technique in 20 (11%) cases. Thirty-day aneurysm-related mortality was 3.4% (six deaths). Five additional deaths occurred during 30-day follow-up, although none was related to complications of the @entity439 (2.8%). CONCLUSIONS: MIM for visceral @entity438 can be used alone or in combination to effectively treat VAAs in elective or emergent conditions.
