外科手术后假性动脉瘤的介入治疗  

Interventional therapy of pseudoaneurysms occurred after surgery

作　　者：明建中[1] 孙冰[1] 曾志斌[1] 钟文新[1] 沈比先[1] 谢宗贵[2] 

机构地区：[1]深圳广东医学院附属深圳市南山医院,518052 [2]深圳市中医院

出　　处：《介入放射学杂志》2010年第2期132-134,共3页Journal of Interventional Radiology

摘　　要：目的总结外科手术后继发假性动脉瘤介入治疗的效果和经验。方法5例外科手术后继发不同部位假性动脉瘤,采用不同的介入方法治疗。1例左侧髂总动脉假性动脉瘤经腹主动脉球囊阻断后作手术人工血管置换,1例右侧锁骨下动脉假性动脉瘤采用覆膜支架置入术将其隔绝,3例终末型动脉的假性动脉瘤采用明胶海绵和(或)弹簧圈栓塞。结果所有假性动脉瘤均完全闭合,未出现治疗相关并发症。结论采用不同的介入技术治疗外科手术后继发假性动脉瘤临床效果肯定,是一种值得推广的治疗方法。Objective To summarize the therapeutic results and experience of the interventional managements for pseudoaneurysms occurred after surgery.Methods Five pseudoaneurysms with different location that occurred after surgery in five patients were treated with different interventional managements.One patient suffered from a ruptured pseudoaneurysm of left common iliac artery, which was treated by obstructing the diseased artery with balloon via the abdominal aorta followed by the replacement of vascular prostheses.One patient had a pseudoaneurysm of right subclavian artery and endovascular covered stent was employed to isolate it.The remaining three patients were affected by pseudoaneurysm of terminal arteries and intraarterial embolization with gelfoam and / or steel coils was carried out.Results Complete closing of the pseudoaneurysm was obtained in all five patients and no therapy-related complications occurred.Conclusion Pseudoaneurysms occurred after surgery can be effectively treated with different interventional managements, it is worth popularizing this technique in clinical practice.

关 键 词：介入治疗 假性动脉瘤 带膜支架 外科手术 

分 类 号：R543.5[医药卫生—心血管疾病]