经导管组织黏合剂结合弹簧圈栓塞脾动脉瘤  

Transcatheter arterial embolization of splenic artery aneurysms with NBCA and steel coils

作　　者：吕朋华[1] 王立富[1] 王书祥[1] 孙陵[1] 王福安[1] 黄文诺[1] 耿素萍[1] 蔡明玉[1] 

机构地区：[1]苏北人民医院介入科,江苏省扬州225001

出　　处：《介入放射学杂志》2011年第9期737-740,共4页Journal of Interventional Radiology

摘　　要：目的探讨采用组织黏合剂NBCA结合弹簧圈经导管栓塞脾动脉瘤的可行性及安全性。方法 3例脾动脉瘤患者,2例位于脾动脉主干,1例位于脾动脉分支。均先经导管置入弹簧圈栓塞载瘤动脉的远端,再以NBCA与碘化油混合物栓塞载瘤动脉的近端包括瘤体。术后采用CT增强扫描随访4～20个月。结果 3例脾动脉瘤均成功栓塞,未出现严重并发症。随访中见所有动脉瘤铸型良好,未见血管再通。1例患者有小面积脾梗死表现。结论经导管NBCA结合弹簧圈栓塞治疗脾动脉瘤安全可行。Objective To discuss the feasibility and safety of transcatheter arterial embolization with NBCA and steel coils for the treatment of splenic artery aneurysms（SAAs）.Methods Transcatheter arterial embolization with NBCA and steel coils was carried out in three patients with splenic aneurysms.The lesions were located at trunk of splenic artery（n = 2） or at branch（n = 1）.After catheterization of the target artery,steel coils were implanted at the distal site of the aneurysm to obstruct the efferent artery,which was followed by the injection of NBCA-lipiodol mixture to occlude the proximal site of the aneurysm and the aneurysm as well.All the patients were followed up for 4 to 20 months and enhanced CT scanning was conducted to check the lesions.Results The procedure was successful in all cases.No severe complications occurred.Follow-up enhanced CT scanning showed that the NBCA cast was clear and stable,the occlusion was complete and no signs of SAAs reopen could be found.Splenic infarction of small area was seen in 1 case.Conclusion Treatment of splenic aneurysms transcatheter arterial embolization with NBCA and steel coils is a safe and effective technique.

关 键 词：脾动脉瘤 弹簧圈 α氰基丙酸正丁脂 栓塞 

分 类 号：R733.2[医药卫生—肿瘤]