Dorenberg Eric J, Hafsahl Geir, Andersen Rune, Krohg-Sørensen Kirsten
Department of Radiology, Rikshospitalet University Hospital, Sognsvannsveien 14, 0027 Oslo, Norway.
J Vasc Interv Radiol. 2006 Jun;17(6):1037-41. doi: 10.1097/01.RVI.0000222821.56922.03.
A patient with a ruptured hypogastric aneurysm was treated via an endovascular approach with coils in the outflow vessels and an Amplatzer vascular plug (AVP) in the main trunk. After 4 weeks, the patient was readmitted with a recurrence of rupture of the hypogastric aneurysm caused by recanalization of the AVP. Final occlusion of the hypogastric artery was achieved by placement of a stent-graft and additional coils. In consideration of this experience, it is recommended that additional coils or several AVPs be used and early contrast medium-enhanced computed tomography follow-up be performed.
一名患有下腹动脉瘤破裂的患者通过血管内治疗方法进行治疗，在流出血管中使用弹簧圈，并在主干中使用Amplatzer血管封堵器（AVP）。4周后，患者因AVP再通导致下腹动脉瘤破裂复发而再次入院。通过放置覆膜支架和额外的弹簧圈最终实现了下腹动脉的闭塞。考虑到这一经验，建议使用额外的弹簧圈或多个AVP，并尽早进行对比剂增强计算机断层扫描随访。
