Aneurysms remnants

Fig. 5.84a-c. Coiling after clipping. Endovascular treatment of a small Acorn aneurysm remnant after incomplete clipping... 

Sindou M, AcevedoJC, TurjmanF( 1998) Aneurysmal remnants after microsurgical clipping classification and results from a prospective angiographic study (in a consecutive series of 305 operated intracranial aneurysms). Acta Neurochir (Wien) 140 1153-1159 Sluzewski M, van Rooij WJ, Beute GN, Nijssen PC (2006) Balloon-assisted coil embolization of intracranial an-... 

The splenic artery arises from the celiac axis and is often tortuous. Therefore, glide wires and hydrophilic catheters are helpful in gaining peripheral access to this vessel. It has a long course from the aorta to the splenic hilum, making it one of the most amenable arteries for stent graft placement. It supplies branches to the body and tail of the pancreas. If necessary, complete occlusion of the main splenic artery distal and proximal to the aneurysm neck can be performed. If the artery is completely thrombosed, collaterals can be parasitized resulting in a splenic remnant or even hypertrophy of splenules after an embolization. 

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