Ross P, Denny D F, Baker C C
University of Pennsylvania Hospital, Philadelphia.
Conn Med. 1990 Jun;54(6):308-10.
The development of hepatic artery pseudoaneurysm represents a difficult therapeutic challenge as a vascular complication of hepatic trauma. Depending on the location of the pseudoaneurysm, this complication may represent a substantial technical challenge: recently hepatic artery pseudoaneurysms have been managed nonoperatively in selected patients. We report definitive control of a traumatic hepatic artery pseudoaneurysm with angiographic placement of detachable silicone balloons that allowed precise proximal and distal occlusion. Follow-up arteriogram at four weeks confirmed complete occlusion of the isolated segment without recurrence. The use and fate of detachable silicone balloons are discussed.
肝动脉假性动脉瘤的形成作为肝外伤的一种血管并发症，是一项具有挑战性的治疗难题。根据假性动脉瘤的位置，这一并发症可能带来巨大的技术挑战：近来，部分患者的肝动脉假性动脉瘤已采用非手术方式处理。我们报告了通过血管造影置入可脱性硅胶球囊对创伤性肝动脉假性动脉瘤进行确定性控制的病例，该方法实现了精确的近端和远端闭塞。四周后的随访动脉造影证实，孤立节段完全闭塞且无复发。文中还讨论了可脱性硅胶球囊的使用及转归。
