INFECTIOUS CELIAC ARTERY ANEURYSM — A RARE CLINICAL ENTITY

Detalhes bibliográficos
Autor(a) principal: Coelho, Andreia Pires
Data de Publicação: 2019
Outros Autores: Monteiro, Pedro, Nogueira, Clara, Lobo, Miguel, Campos, Jacinta, Augusto, Rita, Coelho, Nuno, Semião, Ana Carolina, Ribeiro, João Pedro, Canedo, Alexandra
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.
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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)
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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
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