INFECTIOUS CELIAC ARTERY ANEURYSM — A RARE CLINICAL ENTITY
Autor(a) principal: | |
---|---|
Data de Publicação: | 2019 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.48750/acv.149 |
Resumo: | Introduction: Infectious celiac artery aneurysm (ICAA) is an extremely rare diagnosis, and only a few cases have been reported in the literature to date. We aimed to review this rare clinical entity, focusing on diagnosis and treatment strategies.Methods: A systematic literature review was performed using MEDLINE database according to the PRISMA guidelines.Results: A total of 11 cases of ICAA were identified in the literature to date. Treatment options were extremely variable and included both open and endovascular surgery. Open surgery included aneurysm ligation or aneurysmectomy with or without revascularization with bypass. Endovascular options are increasingly used and include embolization of the aneurysm and collaterals, stentgraft exclusion of the ICAA and in one case report, Chimney technique was used to exclude the aneurysm maintaining celiac trunk patency. Unsurprisingly, antibiotherapy was consistently an essential part of the treatment strategy.Conclusions: Due to the rarity of ICAA, natural history is unclear. Still, surgical treatment is unanimous regardless of aneurysm size. Short term results of endovascular treatment are encouraging, but endovascular implantation of prosthetic material in an infected environment is a concern, so lifelong antibiotherapy and close monitoring are advisable. |
id |
RCAP_d0e163008e694e014209a40739927cb0 |
---|---|
oai_identifier_str |
oai:ojs.acvjournal.com:article/149 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
INFECTIOUS CELIAC ARTERY ANEURYSM — A RARE CLINICAL ENTITYANEURISMA INFECIOSO DO TRONCO CELÍACO — UMA ENTIDADE CLÍNICA RARAAneurysm, infected (MeSH)Celiac artery(MeSH)Aneurisma infeciosoAneurisma micóticoTronco celíacoIntroduction: Infectious celiac artery aneurysm (ICAA) is an extremely rare diagnosis, and only a few cases have been reported in the literature to date. We aimed to review this rare clinical entity, focusing on diagnosis and treatment strategies.Methods: A systematic literature review was performed using MEDLINE database according to the PRISMA guidelines.Results: A total of 11 cases of ICAA were identified in the literature to date. Treatment options were extremely variable and included both open and endovascular surgery. Open surgery included aneurysm ligation or aneurysmectomy with or without revascularization with bypass. Endovascular options are increasingly used and include embolization of the aneurysm and collaterals, stentgraft exclusion of the ICAA and in one case report, Chimney technique was used to exclude the aneurysm maintaining celiac trunk patency. Unsurprisingly, antibiotherapy was consistently an essential part of the treatment strategy.Conclusions: Due to the rarity of ICAA, natural history is unclear. Still, surgical treatment is unanimous regardless of aneurysm size. Short term results of endovascular treatment are encouraging, but endovascular implantation of prosthetic material in an infected environment is a concern, so lifelong antibiotherapy and close monitoring are advisable.Introdução: O aneurisma infecioso do tronco celíaco é um diagnóstico extremamente raro, com apenas alguns casos reportados até à data. Pretendeu-se assim realizar uma revisão da literatura relativa a esta entidade clínica, com enfâse nas estratégias de diagnósticas e terapêuticas.Métodos: Uma revisão de literatura foi realizada utilizando a base de dados da MEDLINE de acordo com as recomendações PRISMA.Resultados: No total foram identificados 11 casos de aneurisma infecioso do tronco celíaco. As opções de tratamento foram extremamente variáveis englobando cirurgia aberta e endovascular. A primeira incluiu laqueação do aneurisma ou aneurismectomia com ou sem revascularização com bypass. As opções endovasculares incluíram embolização do aneurisma e colaterais, exclusão com recurso a stentgraft do aneurisma e num caso a técnica de Chimney foi usada para excluir o aneurisma mantendo a permeabilidade do tronco celíaco. Antibioterapia foi consistentemente uma parte essencial da estratégia terapêutica.Conclusões: Dada a raridade do aneurisma infecioso do tronco celíaco, a sua história natural não é conhecida. Não obstante, a decisão de tratamento cirúrgico, independentemente do tamanho do aneurisma, é unânime. Os resultados a curto prazo do tratamento endovascular são encorajadores, mas a implantação endovascular de material protésico num ambiente infetado torna a antibioterapia de duração indeterminada aconselhável.Sociedade Portuguesa de Angiologia e Cirurgia Vascular2019-09-04T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.48750/acv.149oai:ojs.acvjournal.com:article/149Angiologia e Cirurgia Vascular; Vol. 15 No. 1 (2019): March; 19-24Angiologia e Cirurgia Vascular; Vol. 15 N.º 1 (2019): Março; 19-242183-00961646-706Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://acvjournal.com/index.php/acv/article/view/149https://doi.org/10.48750/acv.149http://acvjournal.com/index.php/acv/article/view/149/128Copyright (c) 2019 Angiologia e Cirurgia Vascularinfo:eu-repo/semantics/openAccessCoelho, Andreia PiresMonteiro, PedroNogueira, ClaraLobo, MiguelCampos, JacintaAugusto, RitaCoelho, NunoSemião, Ana CarolinaRibeiro, João PedroCanedo, Alexandra2022-05-23T15:10:03Zoai:ojs.acvjournal.com:article/149Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T14:57:32.778466Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
INFECTIOUS CELIAC ARTERY ANEURYSM — A RARE CLINICAL ENTITY ANEURISMA INFECIOSO DO TRONCO CELÍACO — UMA ENTIDADE CLÍNICA RARA |
title |
INFECTIOUS CELIAC ARTERY ANEURYSM — A RARE CLINICAL ENTITY |
spellingShingle |
INFECTIOUS CELIAC ARTERY ANEURYSM — A RARE CLINICAL ENTITY Coelho, Andreia Pires Aneurysm, infected (MeSH) Celiac artery(MeSH) Aneurisma infecioso Aneurisma micótico Tronco celíaco |
title_short |
INFECTIOUS CELIAC ARTERY ANEURYSM — A RARE CLINICAL ENTITY |
title_full |
INFECTIOUS CELIAC ARTERY ANEURYSM — A RARE CLINICAL ENTITY |
title_fullStr |
INFECTIOUS CELIAC ARTERY ANEURYSM — A RARE CLINICAL ENTITY |
title_full_unstemmed |
INFECTIOUS CELIAC ARTERY ANEURYSM — A RARE CLINICAL ENTITY |
title_sort |
INFECTIOUS CELIAC ARTERY ANEURYSM — A RARE CLINICAL ENTITY |
author |
Coelho, Andreia Pires |
author_facet |
Coelho, Andreia Pires Monteiro, Pedro Nogueira, Clara Lobo, Miguel Campos, Jacinta Augusto, Rita Coelho, Nuno Semião, Ana Carolina Ribeiro, João Pedro Canedo, Alexandra |
author_role |
author |
author2 |
Monteiro, Pedro Nogueira, Clara Lobo, Miguel Campos, Jacinta Augusto, Rita Coelho, Nuno Semião, Ana Carolina Ribeiro, João Pedro Canedo, Alexandra |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Coelho, Andreia Pires Monteiro, Pedro Nogueira, Clara Lobo, Miguel Campos, Jacinta Augusto, Rita Coelho, Nuno Semião, Ana Carolina Ribeiro, João Pedro Canedo, Alexandra |
dc.subject.por.fl_str_mv |
Aneurysm, infected (MeSH) Celiac artery(MeSH) Aneurisma infecioso Aneurisma micótico Tronco celíaco |
topic |
Aneurysm, infected (MeSH) Celiac artery(MeSH) Aneurisma infecioso Aneurisma micótico Tronco celíaco |
description |
Introduction: Infectious celiac artery aneurysm (ICAA) is an extremely rare diagnosis, and only a few cases have been reported in the literature to date. We aimed to review this rare clinical entity, focusing on diagnosis and treatment strategies.Methods: A systematic literature review was performed using MEDLINE database according to the PRISMA guidelines.Results: A total of 11 cases of ICAA were identified in the literature to date. Treatment options were extremely variable and included both open and endovascular surgery. Open surgery included aneurysm ligation or aneurysmectomy with or without revascularization with bypass. Endovascular options are increasingly used and include embolization of the aneurysm and collaterals, stentgraft exclusion of the ICAA and in one case report, Chimney technique was used to exclude the aneurysm maintaining celiac trunk patency. Unsurprisingly, antibiotherapy was consistently an essential part of the treatment strategy.Conclusions: Due to the rarity of ICAA, natural history is unclear. Still, surgical treatment is unanimous regardless of aneurysm size. Short term results of endovascular treatment are encouraging, but endovascular implantation of prosthetic material in an infected environment is a concern, so lifelong antibiotherapy and close monitoring are advisable. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-09-04T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.48750/acv.149 oai:ojs.acvjournal.com:article/149 |
url |
https://doi.org/10.48750/acv.149 |
identifier_str_mv |
oai:ojs.acvjournal.com:article/149 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
http://acvjournal.com/index.php/acv/article/view/149 https://doi.org/10.48750/acv.149 http://acvjournal.com/index.php/acv/article/view/149/128 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 Angiologia e Cirurgia Vascular info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 Angiologia e Cirurgia Vascular |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Angiologia e Cirurgia Vascular |
dc.source.none.fl_str_mv |
Angiologia e Cirurgia Vascular; Vol. 15 No. 1 (2019): March; 19-24 Angiologia e Cirurgia Vascular; Vol. 15 N.º 1 (2019): Março; 19-24 2183-0096 1646-706X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799129848853037056 |