Division of Vascular Surgery, Graduate School of Medicine, University of Nice-Sophia-Antipolis, Nice, France.
J Vasc Surg. 2011 Dec;54(6):1812-5. doi: 10.1016/j.jvs.2011.05.016. Epub 2011 Jul 20.
This report describes a 43-year-old man with a history of acute abdominal pain with shock. Emergency intervention was decided. No evidence of active bleeding was found. A contrast-enhanced computed tomography scan after the intervention revealed a celiac artery dissection with an intimal flap, with associated aneurysmal dilation. The patient was referred to our institution for endovascular management by upstream and downstream occlusion. Coils and detachable vascular plugs were successfully deployed to occlude the aneurysm. Vascular plugs are easy to use, reduce costs, and shorten the duration of the procedure. A contrast-enhanced computed tomography scan at 9 months showed complete occlusion of the aneurysm.
本报告描述了一名 43 岁男性，有急性腹痛伴休克病史。决定进行紧急干预。未发现明显活动出血。干预后的增强 CT 扫描显示腹腔动脉夹层伴内膜瓣，伴有相关的动脉瘤扩张。患者被转介至我院进行上游和下游闭塞的血管内治疗。成功地部署了线圈和可解脱的血管塞来闭塞动脉瘤。血管塞易于使用，降低成本，并缩短手术时间。9 个月后的增强 CT 扫描显示动脉瘤完全闭塞。
