No Cover Image

Journal article 98 views 10 downloads

Treatment Strategies for Management of True Hepatic Artery Aneurysms: A Systematic Review and Meta-Analysis

SHAHAB HAJIBANDEH, Shahin Hajibandeh Orcid Logo, Giorgio Alessandri, Nicola de Liguori-Carino

The American Surgeon™

Swansea University Author: SHAHAB HAJIBANDEH

  • 71509.VoR.pdf

    PDF | Version of Record

    © The Author(s) 2026. This article is distributed under the terms of the Creative Commons Attribution 4.0 License.

    Download (521.27KB)

Check full text

DOI (Published version): 10.1177/00031348261425178

Abstract

AimsTo synthesize evidence on outcomes of treatment strategies for management of primary hepatic artery aneurysms (HAAs).MethodsA PRISMA-compliant systematic review was conducted. Due to rarity of the disease, all reported cases which underwent operative or endovascular intervention for true HAA wer...

Full description

Published in: The American Surgeon™
ISSN: 0003-1348 1555-9823
Published: SAGE Publications 2026
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa71509
Abstract: AimsTo synthesize evidence on outcomes of treatment strategies for management of primary hepatic artery aneurysms (HAAs).MethodsA PRISMA-compliant systematic review was conducted. Due to rarity of the disease, all reported cases which underwent operative or endovascular intervention for true HAA were pooled from case reports and case series to create a single cohort of patients. Descriptive statistics, logistic regression models, and Kaplan-Meier statistics were used for analyses.Results62 patients from 41 case reports and one case series were included. The mean age was 60.9 and 77% were male; 66% were symptomatic with pain as the most common symptom (76%). The mean diameter and length of aneurysms were 47.4 mm and 55.8 mm, respectively. The anatomy of aneurysm was hostile in 39% and 11% were ruptured at presentation. In terms of treatment, 74% were treated via operative approach and 26% via endovascular approach. Hostile anatomy was the only predictor for selecting operative approach (OR: 8.72, P = .031). Technical success was achieved in 98%; postoperative mortality and morbidity occurred in 5% and 16%, respectively. The probabilities of graft patency at 60 months were not different between the operative and endovascular approaches (86% vs 90%, P = .961); however, the probability of recurrence-free survival was higher after operative approach (100% vs 85%, P = .046).ConclusionsAccepting type 2 error and confounding by indication as the limitations, both operative and endovascular techniques seem to be safe and feasible in management of true HAA. Hostile anatomy may be the main determinant of selecting operative approach over the endovascular approach.
Keywords: aneurysms; hepatic artery; endovascular
College: Faculty of Medicine, Health and Life Sciences
Funders: The author(s) received no financial support for the research, authorship, and/or publication of this article.

Similar Items