Contemporary endovascular management of splenic vascular pathologies

E Leung; J Maingard; J Yeh; M J Lee; D M Brooks; H Asadi; D A Burrows; H K Kok

doi:10.1016/j.crad.2020.07.010

Contemporary endovascular management of splenic vascular pathologies

Clin Radiol. 2020 Dec;75(12):960.e23-960.e34. doi: 10.1016/j.crad.2020.07.010. Epub 2020 Aug 17.

Authors

E Leung¹, J Maingard², J Yeh³, M J Lee⁴, D M Brooks⁵, H Asadi⁶, D A Burrows³, H K Kok⁷

Affiliations

¹ Interventional Radiology Service - Department of Radiology, Northern Health, Melbourne, Australia. Electronic address: Edileung@hotmail.com.
² Interventional Neuroradiology Service - Monash Imaging, Monash Health, Melbourne, Australia; School of Medicine, Faculty of Health, Deakin University, Waurn Ponds, Australia.
³ Interventional Radiology Service - Department of Radiology, Northern Health, Melbourne, Australia.
⁴ Department of Radiology, Beaumont Hospital and Royal College of Surgeons in Ireland, Dublin, Ireland.
⁵ School of Medicine, Faculty of Health, Deakin University, Waurn Ponds, Australia; Interventional Neuroradiology Service - Radiology Department, Austin Hospital, Melbourne, Australia.
⁶ Interventional Neuroradiology Service - Monash Imaging, Monash Health, Melbourne, Australia; School of Medicine, Faculty of Health, Deakin University, Waurn Ponds, Australia; Interventional Neuroradiology Service - Radiology Department, Austin Hospital, Melbourne, Australia.
⁷ Interventional Radiology Service - Department of Radiology, Northern Health, Melbourne, Australia; School of Medicine, Faculty of Health, Deakin University, Waurn Ponds, Australia.

PMID: 32819705
DOI: 10.1016/j.crad.2020.07.010

Abstract

The spleen is a commonly injured organ and the splenic vasculature is also susceptible to inflammation and trauma, often resulting in aneurysm formation. Splenic artery aneurysms carry a high risk of rupture and are associated with high mortality and morbidity. Due to the advances in endovascular techniques and devices, endovascular management of splenic vascular pathologies is now considered a first-line strategy. Endovascular embolisation and advance techniques including balloon- or stent-assisted coil embolisation enables minimally invasive management option while preserving splenic function.

Publication types

Review

MeSH terms

Aneurysm / diagnostic imaging
Aneurysm / therapy
Endovascular Procedures*
Humans
Spleen / blood supply*
Splenic Diseases / diagnostic imaging*
Splenic Diseases / therapy*
Vascular Diseases / diagnostic imaging*
Vascular Diseases / therapy*