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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2021; 05(03): 182-185
DOI: 10.1055/s-0041-1728969
Case Report

Guidewires as Embolic Agents? Embolotherapy of Large Splenic Artery Aneurysms

Arafat Muhammed Haris
1   Department of Interventional Radiology, Asian Institute of Gastroenterology, Hyderabad, Telangana India
,
Jagdeesh Rampal Singh
1   Department of Interventional Radiology, Asian Institute of Gastroenterology, Hyderabad, Telangana India
,
Chitterusu Raghuram
2   Department of Gastro-Intestinal Surgery, Asian Institute of Gastroenterology, Hyderabad, Telangana, India
,
Rebala Pradeep
2   Department of Gastro-Intestinal Surgery, Asian Institute of Gastroenterology, Hyderabad, Telangana, India
,
D. Nageshwar Reddy
3   Department of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, Telangana, India
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Abstract

Splenic artery aneurysms are among the more frequently diagnosed intra-abdominal aneurysms and are not infrequent in patients with raised portal venous pressure often requiring endovascular or surgical therapy. A 36-year-old female patient with Non-cirrhotic portal fibrosis and portal hypertension was diagnosed with multiple large splenic artery aneurysms for which she was initially operated which resulted in substantial blood loss during dissection that required embolotherapy. Initial attempts at coil embolization proved unsuccessful due to the wide aneurysmal neck and flow characteristics. Following which the aneurysmal sac was packed with multiple guidewires to act as a scaffold for further coil embolization. Subsequently, hemostasis was achieved and the patient underwent splenectomy later thereby demonstrating that embolization of large aneurysms can be accomplished with reasonable efficacy using guidewires.

Keywords

splenic artery aneurysm - guidewire - embolotherapy - embolic agent


Publication History

Article published online:
29 April 2021

© 2021. Indian Society of Vascular and Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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