Possibilities of endovascular surgery in the treatment of visceral branches aneurysis

One of the causes of intra-abdominal bleeding is a rare complication, such as an aneurysmal rupture of the visceral arteries of the abdominal aorta. Often, the first clinical manifestation of the aneurysm is a hemorrhagic shock which proceed from its rupture. The risk of aneurysm rupture doesn’t depend on their size, ranging from 3% to 10%. The mortality from aneurysm rupture can reach 36%. Since aneurysm ruptures have a high rate of mortality, treatment of both, symptomatic and asymptomatic aneurysms is required. The authors demonstrate successful endovascular treatment of aneurysms splenic artery and posttraumatic aneurysm of common hepatic artery using modern embolization materials. In the first case, embolization of lumen aneurysm was performed by embolization coil with the subsequent installation of the artery stent graft in the lumen; in the second case, the feeding artery was embolized by microemboles. Nowadays, the medical instruments for X - ray surgical interventions allow us to perform a complete embolization of pathological structures such as aneurysms of the main arteries of the celiac trunk. Due to low level of damage from interventions, endovascular therapies can be considered the method of choice in the treatment of many surgical diseases.