Grosso M, Spalluto F, Anselmetti G C, Faissola B, Fava C
Instituto di Radiologia, Università, Torino.
Radiol Med. 1992 Jun;83(6):795-9.
The authors present their experience with the percutaneous embolization of 13 splanchnic aneurysms and pseudoaneurysms (2 pseudoaneurysms of gastroduodenal artery, 3 of the hepatic artery, 7 renal pseudoaneurysms, 1 aneurysm of the splenic artery). In 9 of 13 cases the lesions were iatrogenic. Embolizing devices and techniques are described. Percutaneous embolization was successful in 12 of 13 cases, and useless in 1 case of renal pseudoaneurysm. In the 12 successfully treated cases the lesions were still occluded in the follow-up period. Transcatheter percutaneous embolization is the elective treatment in splanchnic aneurysms and pseudoaneurysms; surgery must be performed only when embolization fails.
作者介绍了他们对13例内脏动脉瘤和假性动脉瘤(胃十二指肠动脉假性动脉瘤2例、肝动脉假性动脉瘤3例、肾假性动脉瘤7例、脾动脉瘤1例)进行经皮栓塞治疗的经验。13例中有9例病变为医源性。文中描述了栓塞装置和技术。13例中有12例经皮栓塞成功,1例肾假性动脉瘤栓塞失败。在12例成功治疗的病例中,随访期间病变仍保持闭塞。经导管经皮栓塞是内脏动脉瘤和假性动脉瘤的首选治疗方法;只有在栓塞失败时才必须进行手术。