Rao V R, Mandalam R K, Joseph S, Satija V, Gupta V K, Gupta A K, Jain S K, Unni M N, Rao A S
Department of Radiology, Sree Chita Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.
Radiology. 1990 May;175(2):407-10. doi: 10.1148/radiology.175.2.2326468.
In five patients embolization of large saccular aneurysms involving the popliteal artery, common carotid artery, arch of the aorta, and abdominal aorta was performed with custom-designed spring coils. Surgery was attempted before embolization for the aneurysm involving the popliteal artery. The other aneurysms were considered nonresectable due to their critical location. Although maximal packing of the aneurysmal sac was attempted, delayed follow-up angiography revealed displacement of the coils away from the parent vessel as well as further expansion of the residual aneurysmal sac. In these cases complete embolization of the aneurysmal sac was not possible without obstructing the parent artery.
对5例累及腘动脉、颈总动脉、主动脉弓和腹主动脉的大型囊状动脉瘤患者，使用定制设计的弹簧圈进行了栓塞治疗。对于累及腘动脉的动脉瘤，在栓塞前尝试了手术治疗。其他动脉瘤因其位置关键而被认为无法切除。尽管尝试了最大限度地填充动脉瘤囊，但延迟的随访血管造影显示弹簧圈从母血管移位，以及残余动脉瘤囊进一步扩大。在这些病例中，不阻塞母动脉就不可能完全栓塞动脉瘤囊。
