The Importance of Multislice Computed Tomography in the Diagnosis and Treatment of Splenic Artery Aneurysms (Literature Review with our own Clinical Observations)

Abstract

False splenic artery aneurysm (SAA) is a fairly rare pathology with a high mortality. The article provides information about the frequency of their occurrence, causes, methods of diagnosis and treatment available in the literature. Currently, minimally invasive endovascular treatments are increasingly being used for treating splenic artery aneurysms. Our own observations of patients with giant SAA have been described as an illustration. In the first case was used endovascular proximal embolization of the splenic artery with 2 Gianturko helices. In the second case we have described the spontaneous thrombosis after an accomplished bleeding. The most informative in the diagnosis of SAA are multislice computed tomography (MSCT), angiography, endo-ultrasound. Comparison of the results of these methods allows you to the most accurately diagnose and determine the treatment tactics. Due to the high risk of aneurysm rupture and high mortality it is important to emphasize the necessity of a complex approach using multiphase MSCT-research, both at the initial stages of the survey and during monitoring the effectiveness of the treatment.