胰十二指肠动脉瘤的血管内治疗：临床难题

Endovascular management of a pancreaticoduodenal aneurysm: a clinical dilemma.

作者信息

Sultan Sherif, Molloy Martin, Evoy Denis, Colgan Mary-Paula, Madhavan Prakash, Moore Dermot, Shanik Gregor

机构信息

Department of Vascular and Endovascular Surgery, St. James's Hospital, Trinity College, Dublin, Ireland.

出版信息

J Endovasc Ther. 2002 Apr;9(2):225-8. doi: 10.1177/152660280200900216.

DOI:10.1177/152660280200900216

PMID:12010106

Abstract

PURPOSE

To report the successful endovascular embolization of a pancreaticoduodenal aneurysm (PDA).

CASE REPORT

A 56-year-old man with a history of pancreatitis presented with insidious, progressive epigastric pain for the preceding 6 months. Contrast-enhanced computed tomography (CT) and selective hepatic digital subtraction angiography identified a 7.7-cm aneurysm that arose from the pancreaticoduodenal branch of the gastroduodenal artery. Through a percutaneous common femoral approach, 10 stainless steel coils were delivered to occlude the aneurysm. A single coil detached and became lodged in a small branch of the right hepatic artery without sequelae. At 26 months, duplex and CT scans show continued occlusion of the aneurysm.

CONCLUSIONS

Transcatheter coil embolization should be the first choice treatment for aneurysms of the pancreaticoduodenal artery.

摘要

目的

报告胰十二指肠动脉瘤（PDA）成功的血管内栓塞治疗。

病例报告

一名有胰腺炎病史的56岁男性，在过去6个月中出现隐匿性、进行性上腹部疼痛。增强计算机断层扫描（CT）和选择性肝数字减影血管造影显示一个7.7厘米的动脉瘤，起源于胃十二指肠动脉的胰十二指肠分支。通过经皮股总动脉入路，送入10个不锈钢弹簧圈以闭塞动脉瘤。一个弹簧圈脱落并滞留在右肝动脉的一个小分支中，未产生后遗症。在26个月时，双功超声和CT扫描显示动脉瘤持续闭塞。