OBJECTIVE

To determine the optimal treatment method for patients with visceral artery aneurysms.

MATERIAL AND METHODS

There were 19 patients with visceral artery aneurysms who were treated at the Petrovsky Russian Research Center of Surgery between 2005 and February 2021. Effectiveness was assessed considering technical success rate and need for redo interventions. Safety included the incidence of organ infarction and mortality in early and long-term postoperative period. Mean follow-up period was 56±17 months.

RESULTS

Technical success was achieved in all cases. Early and long-term postoperative mortality was absent in both groups. No redo interventions were required in early and long-term postoperative period. Organ infarction occurred in 2 (25%) patients after endovascular treatment and 1 (9.1%) patient after open surgery (p=0.413).

CONCLUSION

Endovascular interventions demonstrate clinical efficacy and safety comparable to open surgery. This approach should be preferred for these patients if vascular anatomy is appropriate for stenting. Open surgery is advisable for visceral artery aneurysms if endovascular intervention is impossible and/or combined intervention is necessary.