Karaman Kutlay, Onat Levent, Sirvanci Mustafa, Olga Rüstem
Department of Radiology, Florence Nightingale Hospital, Istanbul, Turkey.
Diagn Interv Radiol. 2005 Jun;11(2):119-21.
Splenic artery aneurysms are rare but important vascular lesions that constitute approximately 60% of all visceral arterial aneurysms. Splenic artery is the third most common localization of intraabdominal aneurysm formation. Rupture is the main complication that occurs in 3%-10% of the cases. We describe a case with a proximal splenic artery aneurysm. To preserve splenic function and reduce the risk of aneurysmal rupture, we used stent-graft to embolize the aneurysm treated percutaneously. The follow up of patient was uneventful after embolization. Endovascular embolization of the splenic artery aneurysm may prevent the need for emergency surgery and also offer an effective alternative surgical treatment.
脾动脉瘤虽罕见但很重要,约占所有内脏动脉瘤的60%。脾动脉是腹内动脉瘤形成的第三大常见部位。破裂是主要并发症,发生率为3%-10%。我们描述了一例近端脾动脉瘤病例。为保留脾功能并降低动脉瘤破裂风险,我们采用覆膜支架经皮栓塞治疗该动脉瘤。栓塞术后患者随访情况良好。脾动脉瘤的血管内栓塞可避免急诊手术的需要,也是一种有效的替代手术治疗方法。