医源性假性动脉瘤的介入治疗  

Endovascular Treatment of Iatrogenic Pseudoaneurysm

作　　者：魏崇健[1] 易峰涛[1] 徐振华[1] 宋青玲[1] 舒建山[1] 邵志雄[1] 

机构地区：[1]广州军区武汉总医院微创治疗中心,430070

出　　处：《临床放射学杂志》2011年第11期1685-1687,共3页Journal of Clinical Radiology

摘　　要：目的对33例医源性假性动脉瘤的诊断、治疗进行了总结、讨论,提高对本病的认识,提高治愈率,减少致残及死亡。资料与方法 33例均经股动脉穿刺插管行选择性血管造影,明确载瘤动脉后将导管超选择插入载瘤动脉内,19例用明胶海绵、9例用螺旋圈栓塞载瘤动脉,代替了动脉结扎手术;5例用带膜支架封闭动脉破口,代替了动脉修补术。结果均获得了明显的止血效果,无并发症,无致残、无死亡,住院天数明显缩短。结论对医源性假性动脉瘤的治疗,只要是有条件的医院应首选血管内介入治疗的方法,它具有创伤小,靶血管明确,止血快,疗效好的特点,能最大限度地降低或杜绝致残及死亡率,有很好的社会效益。Objective To analyze the diagnosis and treatment of 33 cases with iatrogenic pseudoaneurysm（PSA）,in order to reduce the death and disability rate caused by aneurysm.Materials and Methods All patients received selective catheterization via femoral artery.After the precise measurement of target artery,a catheter was introduced into the iatrogenic PSA,solid embolic material was placed inside via the cather in 19 cases.Detachable coil was employed to block the target artery in 5 cases.Stent graft was passed for closure of the artery rupture in 5 cases.Results The success rate of embolization was 100%.After endovascular treatment,bleeding was stopped immediately in all cases.There was no complication,disability,and death.Conclusion For iatrogenic PSA,the endovascular treatment can reduce the death and disability rate.

关 键 词：假性动脉瘤 医源性 血管造影术 栓塞 治疗性 带膜支架置入 

分 类 号：R815[医药卫生—放射医学]