Page 32 - Virtual Vascular Vol 14

Splenic artery aneurysm Another example of saccular splenic artery aneurysm

This is another patient with a
Treatment is indicated as the aneurysm is large to prevent rupture (usually saccular splenic artery aneurysm,

>2.5cm) which arises from one side of the
wall of the artery. Embolization
A closer look of the splenic artery aneurysm shows that it is a fusiform using glue and coils successfully

aneurysm near to the splenic hilum. Arterial branches that supplies the spleen thrombosed the aneurysm. The
come off directly from the aneurysm. blood flow to the spleen is
Embolization of this aneurysm may lead to ischaemia and splenic infarct. preserved. (Coils in blue circle; glue

in red circle)
Question: What preparatory work do we need to do if we

expect a high chance of splenic dysfunction after

embolization?

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