8 doctors weighed in:

What can be done for a splenic artery aneurysm?

8 doctors weighed in
Dr. Jason Bauer
Radiology - Interventional
3 doctors agree

In brief: Many treatments

Common in women who have delivered children.
Usually asymptotic and incidentally discovered. Most experts agree that an aneurysm under 2cm in size is of low risk to rupture. However, it is important to characterize the "aneurysm" correctly and be evaluated by a vascular expert. Coil embolization, surgical ligation with splenectomy, or monitoring may be reasonable. Cta imaging would best.

In brief: Many treatments

Common in women who have delivered children.
Usually asymptotic and incidentally discovered. Most experts agree that an aneurysm under 2cm in size is of low risk to rupture. However, it is important to characterize the "aneurysm" correctly and be evaluated by a vascular expert. Coil embolization, surgical ligation with splenectomy, or monitoring may be reasonable. Cta imaging would best.
Dr. Jason Bauer
Dr. Jason Bauer
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2 doctors agree

In brief: 3 options

1. Embolize it (a special x-ray doctor or vascular surgeon puts a tiny catheter from your groin into the splenic artery and injects material to clot off the aneurym part.
May kill the spleen --> possible removal 2. Tie off the splenic artery so no blood can enlarge the aneurysm -- might also lose spleen 3. Watch and wait -- rupture of splenic aneurysm is related to size, genetics, pregnancy.

In brief: 3 options

1. Embolize it (a special x-ray doctor or vascular surgeon puts a tiny catheter from your groin into the splenic artery and injects material to clot off the aneurym part.
May kill the spleen --> possible removal 2. Tie off the splenic artery so no blood can enlarge the aneurysm -- might also lose spleen 3. Watch and wait -- rupture of splenic aneurysm is related to size, genetics, pregnancy.
Dr. Crystal Twynham
Dr. Crystal Twynham
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Dr. Timothy Wu
Surgery - Vascular

In brief: Depends on anatomy

Most splenic artery aneurysms can be treated minimally-invasively by coil embolization.
Rarely is surgical ligation with splenectomy necessary. Most important to consider in whom we offer intervention. Generally all women of child-bearing age or who are pregnant should be treated. Others can wait until it is > 2 cm in size, but i usually wait until bigger given relatively low risk of rupture.

In brief: Depends on anatomy

Most splenic artery aneurysms can be treated minimally-invasively by coil embolization.
Rarely is surgical ligation with splenectomy necessary. Most important to consider in whom we offer intervention. Generally all women of child-bearing age or who are pregnant should be treated. Others can wait until it is > 2 cm in size, but i usually wait until bigger given relatively low risk of rupture.
Dr. Timothy Wu
Dr. Timothy Wu
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Dr. Norman Chideckel
Surgery - Vascular

In brief: It depends

Size and symptoms matter in pregnancy slight more dangerous.

In brief: It depends

Size and symptoms matter in pregnancy slight more dangerous.
Dr. Norman Chideckel
Dr. Norman Chideckel
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