Georgiadis G S, Souftas V D, Papas T T, Lazarides M K, Prassopoulos P
Department of Vascular Surgery, Demokritos University Hospital, Alexandroupolis, Greece.
Eur J Vasc Endovasc Surg. 2007 Feb;33(2):182-6. doi: 10.1016/j.ejvs.2006.08.006. Epub 2006 Oct 20.
A case report is presented of a IEA false aneurysm successfully embolized in a 50-year old man following a blunt abdominal injury. A literature review revealed another 15 cases. Most cases were iatrogenic (13/16) complicating abdominal wall procedures. Treatment options included open surgery (8 cases), percutaneous coil embolization (6), ultrasound guided thrombin injection or ultrasound guided compression (2). The selected treatment (surgical or non-surgical) was not affected by the size of the aneurysm (p=0.6) and was successful in all patients. However two of the non-surgically removed lesions (25%) remained unchanged in size for a long time causing discomfort. IEA false aneurysms represent an uncommon entity. Open surgery for IEA false aneurysms is easy and cheap. Endovascular approaches can lead to a long delay in resolution of the problem.
本文报告了一例50岁男性在腹部钝性损伤后成功栓塞的医源性股动脉假性动脉瘤病例。文献回顾发现另外15例病例。大多数病例为医源性（13/16），是腹壁手术的并发症。治疗选择包括开放手术（8例）、经皮弹簧圈栓塞（6例）、超声引导下注射凝血酶或超声引导下压迫（2例）。所选治疗方法（手术或非手术）不受动脉瘤大小影响（p = 0.6），且所有患者均治疗成功。然而，25%的非手术切除病变中有两例长期大小不变，引起不适。医源性股动脉假性动脉瘤是一种罕见的疾病。医源性股动脉假性动脉瘤的开放手术简单且成本低。血管内治疗方法可能导致问题解决的长期延迟。
