Therapeutic effect comparison between endovascular and open surgery of celiac artery and its branches arteries aneurysms        GUO Jian-ming, GU Yong-quan, YU Heng-xi, et al. Department of Vascular Surgery, Xuanwu Hospital Capital Medical University, Beijing 100053, China
Corresponding author: GU Yong-quan, E-mail:guyq66@sina.com
Abstract    Objective    To analyze surgical treatment methods of celiac artery and its branches arteries aneurysms. Methods    The clinical data of 20 patients performed surgery because of celiac artery and its branches arteries aneurysms from February 2002 to December 2012 in Xuanwu Hospital Capital Medical University were analyzed retrospectively. The celiac artery and its branches arteries aneurysms consist of 1 celiac trunk，11 splenic，1 right hepatic，2 left gastric，3 pancreaticoduodenal and 2 gastroduodenal aneurysms. Rupture occurred in 10 patients. Transcatheter arterial embolization was performed in 14 patients and other 6 patients were performed laparotomy. Results    Four patients suffered from recurrent bleeding after first embolization. One patient received exploring surgery to stop bleeding. Another 3 patients were performed second embolization. Bleeding was controlled rapidly in 7 patients in danger of rupture associated with shock. Duodenum incomplete obstruction developed in 1 patient after pancreaticoduodenal artery embolization. Another 4 patients suffered from partial splenic infarct after splenic artery operation. Nineteen patients were followed up for 4 to 130 months. No aneurysms recurred. Conclusion Both endovascular and open surgery for celiac artery and its branches arteries aneurysms are safe and effective. Endovascular procedure can get shorter length of stay.