Peripheral and Visceral artery aneurysm Flashcards
What are the risk factors for peripheral and visceral artery aneurysm?
possibly trauma, infection, connective tissue disease or inflammatory disease, smoking, hypertension, hyperlipidaemia, family history
What are the investigations for peripheral and visceral artery aneurysm?
CT angiography or MR angiography, US duplex scans, watchful waiting
Where is the most common site for peripheral and visceral artery aneurysm?
Popliteal aneurysms
What do popliteal aneurysms have a high risk of?
embolisation and or occlusion
How will popliteal aneurysm present?
acute limb ischaemia, or intermittent claudication, may be found incidentally
How would you investigate a popliteal aneurysm?
Ultrasound duplex scan, as this will differentiate between other causes of popliteal swelling like bakers cysts or lymphadenopathy, CT angiogram or MR angiogram
What is the management for popliteal aneurysm?
open or endovascular surgery, with stent insertion, or resection of the aneurysm
What are the major causes of femoral artery aneurysm?
Percutaneous vascular interventions, patient self injecting
What are the symptoms and signs of femoral artery aneurysm?
varying degrees of claudication or acute limb ischeamia, swelling in the groin
How would femoral artery aneurysms be investigated?
US duplex scan and CT angiogram or MR angiogram
How would femoral artery aneurysm be treated?
open surgical repair, endovascular is rarely done
How would a splenic artery aneurysm present?
epigastric or LUQ pain, If rupture then severe abdominal pain and haemodynamically compromised
What is the investigation for splenic artery aneurysm?
CT or MR angiography
What is the first line management for splenic artery aneurysm?
endovascular repair
What is associated in 50% of cases with hepatic artery aneurysm?
percutaneous instrumentation
