Clinical trial NCT05727956: Salvage Surgeries for Splanchnic Artery Aneurysms After Failed Endovascular Therapies: Cases Series
Official title: Salvage Surgeries for Splanchnic Artery Aneurysms After Failed Endovascular Therapies: Cases Series
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Failure in Endovascular Therapy
Splanchnic Aneurysm
Mass Effect
Surgery
Keywords: salvage surgery
failed endovascular therapy
giant aneurysm
mass effect
jaundice
surgery
Lead sponsor: China Medical University Hospital
Sponsor class: OTHER
First posted: 2023-02-14
Enrollment: 5
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: CASE_ONLY
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Patients who received surgical salvages after failed endovascular therapies for splanchnic arterial aneurysms in a tertiary university hospital (China Medical University Hospital, Taichung, Taiwan) between 2019 and 2021.

Brief summary: A retrospective review was performed for consecutive patients (from 2019 to 2021) who underwent salvage surgeries following failed endovascular therapies for splanchnic artery aneurysms in a tertiary referral center. Salvage operations include total aneurysmectomy with vascular reconstruction and partial aneurysmectomy with directly closing bleeders from the intraluminal space of the aneurysms.

Detailed description: Salvage surgery for splanchnic artery aneurysm after failed endovascular trials includes one of the following three strategies: (1) aneurysmectomy along with the involved organ if the aneurysm is located within the parenchyma of solid organs (2) aneurysmectomy with vascular reconstruction if the aneurysm outside the solid organ (3)partial aneurysmectomy with direct closing the feeding vessel orifice if the aneurysm occurs in the hostile abdomen.

Eligibility criteria: Inclusion Criteria:

* Patients underwent salvage surgeries following failed endovascular therapies for splanchnic artery aneurysms
* The aneurysms were diagnosed based on medical history and computed tomography (CT)

Exclusion Criteria:

* Patients only underwent endovascular therapies for artery aneurysms
* The aneurysms are not located at the splanchnic artery

Primary outcomes:
measure: Survival outcomes after surgical intervention
timeFrame: From surgical intervention to the latest follow-up date (i.e., 2023-Jan-20)
Secondary outcomes:
Other outcomes:
Locations:
city: Taichung
country: Taiwan
facility: China Medical University Hospital, Department of Surgery
Study officials:
affiliation: China Medical University Hospital
name: Chun-Chieh Yeh, M.D.
role: PRINCIPAL_INVESTIGATOR
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