Comparative therapeutic efficacy of endovascular embolization versus open surgical intervention in the management of hepatic visceral aneurysms: a critical analysis of clinical outcomes and procedural considerations

Ernesto F. M.  Sedano; Mariana G. G. Pérez; Carlos A. L. Urbina; María I. G. Serrano; Carlos A. L. Morales; Karla L. R. Pinto; Víctor A. C.  Cardeña

doi:10.18203/2349-2902.isj20251925

Authors

Ernesto F. M. Sedano Hospital General Zona 2 Instituto Mexicano del Seguro Social, Tuxtla Gutiérrez, Chiapas, Mexico
Mariana G. G. Pérez Hospital General Zona 2 Instituto Mexicano del Seguro Social, Tuxtla Gutiérrez, Chiapas, Mexico
Carlos A. L. Urbina Hospital General Zona 2 Instituto Mexicano del Seguro Social, Tuxtla Gutiérrez, Chiapas, Mexico
María I. G. Serrano Hospital General Zona 2 Instituto Mexicano del Seguro Social, Tuxtla Gutiérrez, Chiapas, Mexico
Carlos A. L. Morales Hospital General Zona 2 Instituto Mexicano del Seguro Social, Tuxtla Gutiérrez, Chiapas, Mexico
Karla L. R. Pinto Hospital General Zona 2 Instituto Mexicano del Seguro Social, Tuxtla Gutiérrez, Chiapas, Mexico
Víctor A. C. Cardeña Hospital General Zona 2 Instituto Mexicano del Seguro Social, Tuxtla Gutiérrez, Chiapas, Mexico

DOI:

https://doi.org/10.18203/2349-2902.isj20251925

Keywords:

Hepatic artery aneurysm, Visceral aneurysm management, Endovascular embolization, Open surgical repair, Vascular surgery, Interventional radiology, Aneurysm rupture risk, Therapeutic outcomes, Minimally invasive techniques

Abstract

Hepatic visceral aneurysms represent a rare yet clinically significant vascular pathology with potentially life-threatening complications, including rupture and hemorrhage. The optimal therapeutic approach—endovascular embolization or open surgical repair—remains a subject of ongoing debate within the field of vascular and interventional medicine. This article systematically evaluates the comparative efficacy, perioperative morbidity, long-term patency, and procedural complications associated with these two principal treatment modalities. Endovascular techniques, including transcatheter arterial embolization (TAE) and coil embolization, offer minimally invasive advantages, such as reduced hospitalization duration and lower immediate postoperative morbidity. Conversely, open surgical intervention, though more invasive, may provide definitive aneurysm exclusion and durability in select cases, particularly for complex or large aneurysms. Clinical decision-making must account for anatomical considerations, hemodynamic stability, and patient comorbidities. This review synthesizes current evidence to guide clinicians in selecting the most appropriate intervention for hepatic visceral aneurysms, emphasizing a patient-tailored approach to optimize outcomes.

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