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多层支架血管内治疗肝动脉瘤:2例报告及1年随访

Endovascular treatment of hepatic artery aneurysm by multilayer stents: two cases and one-year follow-up.

作者信息

Ferrero Emanuele, Ferri Michelangelo, Viazzo Andrea, Nessi Franco

机构信息

Vascular and Endovascular Surgery Unit, Mauriziano Umberto I Hospital, Turin, Italy.

出版信息

Interact Cardiovasc Thorac Surg. 2011 Nov;13(5):545-7. doi: 10.1510/icvts.2011.280842. Epub 2011 Aug 10.

DOI:10.1510/icvts.2011.280842
PMID:21831875
Abstract

We wished to analyze our initial experience with the Cardiatis Multilayer Stent for visceral artery aneurysms. Two males with a hepatic artery aneurysm (34 mm and 48 mm in diameter, respectively) were treated, via a percutaneous femoral approach, with multilayer stents. We deployed the stent in front of the aneurysm neck, covering the hepatic artery branches. At 12 months, a computed tomography scan showed thrombosis of the aneurysmal sac and patency of all the branches of the hepatic artery. The Multilayer Stent appears to be a viable alternative for the treatment of visceral artery aneurysms in patients at high surgical risk, but long-term follow-up is needed.

摘要

我们希望分析使用Cardiatis多层支架治疗内脏动脉瘤的初步经验。两名患有肝动脉瘤(直径分别为34毫米和48毫米)的男性患者,通过经皮股动脉途径接受了多层支架治疗。我们将支架部署在动脉瘤颈部前方,覆盖肝动脉分支。12个月时,计算机断层扫描显示动脉瘤囊血栓形成,肝动脉所有分支通畅。多层支架似乎是治疗手术风险高的内脏动脉瘤患者的一种可行替代方法,但需要长期随访。

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Visceral Artery Aneurysms and Pseudoaneurysms—Should They All be Managed by Endovascular Techniques?内脏动脉瘤和假性动脉瘤——都应该采用血管内技术进行治疗吗?
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