慢性胰腺炎继发胃十二指肠动脉巨大假性动脉瘤的成功动脉栓塞术并文献复习
Successful arterial embolization of a giant pseudoaneurysm of the gastroduodenal artery secondary to chronic pancreatitis with literature review.
作者信息
Klauß Miriam, Heye Tobias, Stampfl Ulrike, Grenacher Lars, Radeleff Boris
机构信息
Department of Diagnostic and Interventional Radiology, University hospital, Heidelberg, Germany.
出版信息
J Radiol Case Rep. 2012 Feb;6(2):9-16. doi: 10.3941/jrcr.v6i2.919. Epub 2012 Feb 1.
Abstract
We report a case of an uncommon giant pseudoaneurysm of the gastroduodenal artery secondary to chronic pancreatitis. It presented with a perfused volume of 17.3 cm(3) close to the branch-off of the right hepatic artery. Superselective transcatheter embolization including interlocking detachable coils and a mixture of Ethibloc and Lipiodol was our technique of choice. Following the procedure, the patient was in hemodynamically stable condition. At that time, he was free of any clinical symptoms and showed no further signs of bleeding or ischaemia. Additionally, we present an overview of the relevant literature.
摘要
我们报告一例罕见的继发于慢性胰腺炎的胃十二指肠动脉巨大假性动脉瘤病例。它在靠近右肝动脉分支处的灌注体积为17.3立方厘米。我们选择的技术是超选择性经导管栓塞术，包括使用可脱性弹簧圈以及乙碘油和碘油的混合物。术后，患者血流动力学稳定。当时，他没有任何临床症状，也没有出血或缺血的进一步迹象。此外，我们还对相关文献进行了综述。
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Successful arterial embolization of a giant pseudoaneurysm of the gastroduodenal artery secondary to chronic pancreatitis with literature review.慢性胰腺炎继发胃十二指肠动脉巨大假性动脉瘤的成功动脉栓塞术并文献复习
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本文引用的文献
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2
Angiographic intervention in patients with a suspected visceral artery pseudoaneurysm complicating pancreatitis and pancreatic surgery.对疑似患有并发胰腺炎及胰腺手术的内脏动脉假性动脉瘤患者进行血管造影介入治疗。
Arch Surg. 2011 Jun;146(6):647-52. doi: 10.1001/archsurg.2011.11. Epub 2011 Feb 21.
3
Endovascular treatment of arterial bleeding in patients with pancreatitis.胰腺炎患者动脉出血的血管内治疗
Pancreatology. 2007;7(4):360-9. doi: 10.1159/000107396. Epub 2007 Aug 14.
4
Ruptured pancreaticoduodenal artery pseudoaneurysm with chronic pancreatitis presenting as recurrent upper gastrointestinal bleeding.破裂性胰十二指肠动脉假性动脉瘤合并慢性胰腺炎，表现为反复上消化道出血。
Dig Dis Sci. 2007 Nov;52(11):3149-53. doi: 10.1007/s10620-006-9636-9. Epub 2007 Apr 3.
5
Improved outcomes in postoperative and pancreatitis-related visceral pseudoaneurysms.术后及胰腺炎相关内脏假性动脉瘤的治疗效果改善。
J Gastrointest Surg. 2007 Jan;11(1):50-5. doi: 10.1007/s11605-006-0038-2.
6
Vascular complications of pancreatitis.胰腺炎的血管并发症
ANZ J Surg. 2005 Dec;75(12):1073-9. doi: 10.1111/j.1445-2197.2005.03607.x.
7
Systematic appraisal of the management of the major vascular complications of pancreatitis.胰腺炎主要血管并发症管理的系统评估
Am J Surg. 2005 Sep;190(3):489-95. doi: 10.1016/j.amjsurg.2005.03.009.
8
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Surgery. 2005 Mar;137(3):323-8. doi: 10.1016/j.surg.2004.10.009.
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Gastroenterol Clin North Am. 2003 Dec;32(4):1169-94, ix. doi: 10.1016/s0889-8553(03)00089-x.
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Pancreatology. 2001;1(4):306-13. doi: 10.1159/000055829.
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