经导管介入治疗内脏动脉瘤(附65例报道)

2023-05-19 20:24:22 文档大全网 [ 字体：小中大 ] [ 阅读： ]

【#文档大全网# 导语】以下是®文档大全网的小编为您整理的《经导管介入治疗内脏动脉瘤(附65例报道)》，欢迎阅读！
动脉瘤,导管,内脏,介入,治疗
经导管介入治疗内脏动脉瘤(附65例报道)

刘凌晓;颜志平;王建华;罗剑钧;王小林

【期刊名称】《复旦学报（医学版）》【年(卷),期】2011(038)003

【摘要】目的评价经导管介入治疗内脏动脉瘤(visceral artery aneurysm,VAA)的安全性及疗效.方法回顾性总结2005年1月至2010年4月经导管介入治疗65例VAA患者的资料;其中男性36例,女性29例,年龄22~86岁,平均(54±32)岁.65例患者共发现79个VAA,其中真性动脉瘤40个、假性动脉瘤39个(医源性36个,创伤后3个);瘤体位于脾动脉28个,肝动脉18个,肾动脉18个,肠系膜动脉14个,腹腔动脉1个.58例动脉瘤行经导管动脉瘤体填塞和/或载瘤动脉栓塞术;6例行覆膜支架植入术,其中3例结合远端载瘤动脉栓塞术;1例联合行动脉瘤体栓塞术+裸支架植入术.其中3例多发动脉瘤中瘤体直径<2 cm的未干预.结果经导管介入治疗动脉瘤手术一次成功率达96.9%(63/65),二次成功率达100%(2/2).术后随访2~48个月(平均18.9个月),并对治疗前后的造影及CT资料进行分析,动脉瘤完全隔绝于循环之外达100%,未见动脉瘤破裂出血及动脉瘤复发、增大;无治疗相关严重并发症或死亡;脾动脉瘤栓塞患者有7例出现不同程度发热、脾区疼痛等脾梗塞症状;肝动脉瘤、肾动脉瘤栓塞后均未见明显肝、肾功能异常;肠系膜动脉瘤栓塞后未见明显肠道缺血症状.结论经血管腔内栓塞或覆膜支架植入术治疗VAA安全有效.%Objective To review the outcomes of the interventional treatment for visceral artery aneurysm (VAA) with catheter-based techniques. Methods From Jan 2005 to Apr 2010, 65 patients [36 males and 29 females with mean age of (54 ± 32) years old] with 79 VAAs were identified (40 VAAs

and 39 visceral artery pseudoaneurysms) to be located in splenic arteries (28 cases), hepatic arteries (18 cases), renal arteries (18 cases), celiac axis (1 case) and mesenteric arteries (14 cases).Transcatheter coil embolization was used in 58 procedures. Stent graft placement was used in 6 patients, with additional coil embolization of outflow artery in 3 of them.

Combination of the endovascular embolization and nude stent placement in the hepatic artery was performed in 1 patient with hepatic artery pseudoaneurysm. Surveillance without intervention occurred in 3 aneurysms with diameter less than 2 cm. Original computed tomography (CT) and digital subtraction angiography (DSA)were evaluated. Results The endovascular treatment of VAAs was technically successful at the first operation in 63 of 65 procedures (96.9 ％ ) and ultimately successful at the secondary intervention in 2 of 2. Follow-up was performed in a mean period of 18.9 months. Complete exclusion of flow within the aneurysm sac occured in 100％ interventions with follow-up imaging.

Postembolization syndrome developed in 7 patients (28％) after splenic artery embolization. There was no evidence of hepatic,renal insufficiency or bowel ischemia after hepatic, renal or mesenteric artery aneurysm treatment.Conclusions VAA and pseudoaneurysm can be successfully treated with transcatheter modalities with low periprocedural morbidity and high efficiency.

【总页数】6页(P216-220,246)

【作者】刘凌晓;颜志平;王建华;罗剑钧;王小林

【作者单位】复旦大学附属中山医院介入治疗科,上海,200032;复旦大学附属中山医院介入治疗科,上海,200032;复旦大学附属中山医院介入治疗科,上海,200032;复旦大学附属中山医院介入治疗科,上海,200032;复旦大学附属中山医院介入治疗科,上海,200032 【正文语种】中文【中图分类】R543.5 【相关文献】

1.内脏动脉瘤介入治疗方法探讨（附16例分析） [J], 卢占兴;庄广义

2.经导管介入治疗小儿膜周部室间隔缺损疗效评价(附30例报道) [J], 周广玉;柳宏波

3.经导管同期介入治疗复合型先天性心脏病--附2例报道 [J], 项云;都鹏飞;程自平;杨善志;史学功

4.介入治疗内脏动脉瘤的远期疗效 [J], 肖开;江娜;郑曲彬;黄兢姚;黄宁;杨维竹 5.内脏动脉瘤的介入治疗(附10例报道) [J], 江谋应;金涛;王金林;徐万里

因版权原因，仅展示原文概要，查看原文内容请购买