Vallina-Victorero Vazquez M J, Vaquero Lorenzo F, Salgado A Alvarez, Ramos Gallo M J, Vicente Santiago M, Lojo Rocamonde I M, Alvarez Fernandez L J
Department of Angiology and Vascular and Endovascular Surgery, Cabueñes Hospital, Gijon, Spain.
Ann Vasc Surg. 2009 Mar;23(2):258.e13-7. doi: 10.1016/j.avsg.2008.05.018. Epub 2008 Nov 5.
Four cases (three women and one man) of embolization of visceral artery aneurysms are presented, of which two affected the splenic artery and two the renal artery. The two renal aneurysms were related to hypertension; one of the splenic aneurysms was diagnosed in the context of hypertension, and the other affected a woman of a fertile age. Microguides, microcatheters, and Guglielmi platinum coils, liberated by electrolysis, with different lengths and characteristics, were used. Also, one of the renal aneurysm cases was related to the placing of a stent due to the existence of a stenosis of the renal artery adjacent to the aneurysmatic neck. Immediate occlusion of the aneurysm was achieved in the four cases. Evaluation with nuclear magnetic resonance angiography carried out 3 months later confirmed the sealing of the aneurysm and the patency of the native artery. Currently available devices provide a good therapeutic option for the embolization of visceral aneurysms with low morbidity and mortality rates.
本文介绍了4例内脏动脉瘤栓塞病例（3名女性和1名男性），其中2例累及脾动脉，2例累及肾动脉。2例肾动脉瘤与高血压有关；1例脾动脉瘤在高血压背景下被诊断出来，另一例发生在育龄女性身上。使用了通过电解释放的不同长度和特性的微导丝、微导管和 Guglielmi 铂金线圈。此外，1例肾动脉瘤病例因动脉瘤颈部相邻的肾动脉存在狭窄而与放置支架有关。4例均实现了动脉瘤的即刻闭塞。3个月后进行的核磁共振血管造影评估证实了动脉瘤的封堵和原生动脉的通畅。目前可用的设备为内脏动脉瘤栓塞提供了一种良好的治疗选择，发病率和死亡率较低。
