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经直接臀上动脉入路对双侧髂内动脉瘤进行经皮经臀线圈栓塞术。

Percutaneous transgluteal coil embolization of bilateral internal iliac artery aneurysms via direct superior gluteal artery access.

作者信息

Kabutey Nii-Kabu, Siracuse Jeffrey J, Gill Heather, Kundi Rishi, Meltzer Andrew J, Schneider Darren B

机构信息

Division of Vascular Surgery, Cornell University Medical Center, New York, NY.

Division of Vascular Surgery, Cornell University Medical Center, New York, NY.

出版信息

J Vasc Surg. 2014 Jul;60(1):226-9. doi: 10.1016/j.jvs.2013.06.053. Epub 2013 Jul 26.

DOI:10.1016/j.jvs.2013.06.053
PMID:23890817
Abstract

Proximal surgical ligation of internal iliac artery aneurysms without occlusion of the outflow vessels can lead to continued aneurysm expansion and possible rupture from retrograde flow. Percutaneous embolization options are limited because there is no direct transarterial antegrade access to the aneurysm if the internal iliac artery has been ligated. We describe the first case of bilateral percutaneous transgluteal coil embolizations to treat surgically excluded bilateral internal iliac artery aneurysms.

摘要

在不闭塞流出血管的情况下对髂内动脉瘤进行近端手术结扎可导致动脉瘤持续扩张，并可能因逆行血流而破裂。如果髂内动脉已被结扎，经皮栓塞的选择有限，因为没有直接经动脉顺行进入动脉瘤的途径。我们描述了首例通过双侧经臀线圈栓塞治疗手术排除的双侧髂内动脉瘤的病例。

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