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真菌性假性动脉瘤的血管内治疗

Endovascular treatment of mycotic pseudoaneurysms.

作者信息

Vávrova M, Jonszta Tomas, Czerný D, Hrbac T, Lipina R, Klement P, Procházka V

机构信息

Department of Interventional Neuroradiology and Angiology, University Hospital Ostrava, Ostrava, Czech Republic.

出版信息

Vasa. 2010 Aug;39(3):256-61. doi: 10.1024/0301-1526/a000038.

DOI:10.1024/0301-1526/a000038
PMID:20737385
Abstract

The surgical correction of ruptured intracranial infectious pseudoaneurysms is associated with high morbidity and mortality. An endovascular therapeutic approach has been introduced recently. This treatment is, compared to surgical intervention, less invasive, faster, more effective and safer, thus making it a gentler option, particularly for pediatric patients. Lower morbidity and mortality have been achieved thanks to the combination of prolonged administration of antibiotics, coil embolization, and parent artery occlusion. Two pediatric cases of bleeding mycotic pseudoaneurysm treated successfully with fibered coil embolization and long-term antibiotics are dealt with in this manuscript.

摘要

颅内感染性假性动脉瘤破裂的外科矫正与高发病率和死亡率相关。最近引入了一种血管内治疗方法。与外科干预相比,这种治疗侵入性更小、速度更快、更有效且更安全,因此使其成为一种更温和的选择,尤其对于儿科患者。由于长期使用抗生素、弹簧圈栓塞和 parent 动脉闭塞的联合应用,已实现了更低的发病率和死亡率。本文处理了两例成功接受纤维弹簧圈栓塞和长期抗生素治疗的出血性霉菌性假性动脉瘤的儿科病例。

注

这里“parent artery”不太明确准确意思,直译为“parent 动脉”,可能是“供血动脉”之类的专业术语。

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