血管内栓塞治疗外周假性动脉瘤  

Transcatheter intravascular embolization for treating peripheral vascular pseudoaneurysm

作　　者：陈卫[1] 王煊[1] 黄加胜[1] 

机构地区：[1]南京医科大学附属淮安第一医院介入科,江苏南京223300

出　　处：《医学影像学杂志》2015年第6期1073-1075,共3页Journal of Medical Imaging

摘　　要：目的：探讨血管内栓塞治疗外周假性动脉瘤的方法及疗效。方法本组21例患者，肝动脉瘤2例，肾动脉瘤12例，直肠上动脉瘤1例，胃十二指肠动脉瘤1例，下肢动脉瘤3例及子宫动脉瘤2例。均行相关动脉造影，明确假性动脉瘤部位、范围、程度及血供情况，然后超选择插管至病变处，进行栓塞治疗，栓塞方法及栓塞剂的种类、剂量根据病变性质、造影表现及插管具体位置进行选择。结果21例患者均通过动脉造影明确诊断，DSA 造影假性动脉瘤呈现类圆形囊状突起。栓塞后再次造影见动脉瘤及其供血动脉消失，21例介入治疗均获成功。随防1～18个月，均未复发。结论血管内栓塞治疗外周假性动脉瘤，安全有效、创伤小、并发症少，是行之有效的治疗方法。Objective To discuss the technical points and clinical efficacy of transcatheter arterial embolization in the treatment of peripheral vascular pseudoaneurysm .Methods 21 patients with peripheral vascular pseudoaneurysm ,inclu‐ding 2 cases of hepatic pseudoaneurysm ,12 of renal pseudoaneurysm ,1 of superior rectal artery pseudoaneurysm ,1 of gastroduodenal pseudoaneurysm ,2 of uterine pseudoaneurysm ,and 3 of lower limbs pseudoaneurysm ,were diagnosed by selective angiography for localization ,characteristic ,extent ,degree and blood supply ,and followed by embolization with various embolic materials through Seldinger method .Results All patients were correctly diagnosed through selective angi‐ography .On DSA ,the pseudoaneurysm was manifested as a round sack‐like bulge ,which ,together with its feeding ves‐sels ,disappeared after embolization .Technical success was obtained in all 21 patients .During 1 ~ 18 month follow‐up ,the satisfactory embolization effect was observed .Conclusion Superselective transcatheter embolization for peripheral vascular pseudoaneurysm is both safe and effective .

关 键 词：假性动脉瘤 栓塞 介入治疗 

分 类 号：R732.2[医药卫生—肿瘤] R815[医药卫生—临床医学]