脾动脉瘤的经皮血管内治疗

Percutaneous endovascular management of a splenic artery aneurysm.

作者信息

Pitoulias G A, Tachtsi M D, Vlachakis I K, Kapoulas K C, Papadimitriou D K

机构信息

2nd Surgical Department, Division of Vascular Surgery, Aristotle University of Thessaloniki, Greece.

出版信息

Acta Chir Belg. 2008 Nov-Dec;108(6):753-5. doi: 10.1080/00015458.2008.11680331.

DOI:10.1080/00015458.2008.11680331

PMID:19241933

Abstract

Splenic artery aneurysms are extremely rare lesions. Elective repair of these aneurysms is justified only if the aneurysm's size is greater than 2 cm and the predicted peri-operative mortality is below 0.5%. Percutaneous techniques minimise the peri-operative morbidity and mortality rates and offer a safe and effective treatment option. We report a coil-embolisation of a 5.1 cm splenic artery aneurysm and a short review of the literature concerning the endovascular treatment options.

摘要

脾动脉瘤是极其罕见的病变。只有当动脉瘤直径大于2 cm且预计围手术期死亡率低于0.5%时，才适合对这些动脉瘤进行择期修复。经皮技术可将围手术期发病率和死亡率降至最低，并提供一种安全有效的治疗选择。我们报告了一例5.1 cm脾动脉瘤的线圈栓塞术，并对有关血管内治疗选择的文献进行了简要回顾。