Endovascular and open repair of visceral aneurysms: A retrospective single‑center analysis

Rebelo,Artur; Ronellenfitsch,Ulrich; Partsakhaschwilli,Jumber; Kleeff,Jörg; John,Endres; Ukkat,Jörg

doi:10.3892/etm.2023.11951

Endovascular and open repair of visceral aneurysms: A retrospective single‑center analysis

Authors:
- Artur Rebelo
- Ulrich Ronellenfitsch
- Jumber Partsakhaschwilli
- Jörg Kleeff
- Endres John
- Jörg Ukkat
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Affiliations: Department of Visceral, Vascular and Endocrine Surgery, Martin‑Luther‑University Halle‑Wittenberg, D‑06120 Halle (Saale), Germany
Published online on: April 18, 2023 https://doi.org/10.3892/etm.2023.11951
Article Number: 252

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Abstract

The aim of the present study was to analyze the outcome of open surgical and endovascular interventions for the treatment of visceral aneurysms. A retrospective review of a cohort of visceral aneurysm patients treated at a single tertiary referral center was conducted. STROBE guidelines were followed. The primary endpoint was postoperative in‑hospital mortality. Secondary endpoints were major morbidity (Dindo‑Clavien score, >3), the duration of the procedure, technical success and the length of hospital stay. As a result, 12 patients underwent open or endovascular surgery. No 30‑day mortality or major morbidity were observed. The median aneurysm diameter was 2.0 cm (range, 1.5‑5.0 cm). The median postoperative stay was four days for all procedures and significantly longer after open surgery compared with endovascular repair (ER) (7 vs. 3 days). Overall, the evidence from the present retrospective analysis shows no mortality and a shorter length of stay for patients undergoing ER for the treatment of a visceral aneurysm (VAA). Although the results are in line with the fact that ER is considered to be the first line treatment for VAA, this may be prone to selection bias.

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