Matsuoka Shunichi, Kamimura Shinya, Mizutani Taku, Miyazawa Shoichi, Matsumoto Naoki, Moriyama Mitsuhiko
Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Japan.
Intern Med. 2015;54(17):2179-83. doi: 10.2169/internalmedicine.54.4704. Epub 2015 Sep 1.
A 52-year-old man underwent partial splenic embolization (PSE) for hypersplenism. The intrasplenic artery targeted for the embolization was large, and the distance between its trifurcated branches was short; therefore, Guglielmi detachable coils (GDC) 360° Complex Shape were used, as well as conventional metal coils, to prevent coil migration. GDC are equipped with a shape-memory function and are more physically stable than conventional metallic coils because they form three-dimensional loops. In this case, an ideal extent of the splenic infarction was successfully achieved using a small number of coils. This is the first report of the use of GDC in PSE for hypersplenism.
一名52岁男性因脾功能亢进接受了部分脾栓塞术（PSE）。用于栓塞的脾内动脉较大，其分支三叉处的距离较短；因此，使用了 Guglielmi 可脱卸弹簧圈（GDC）360°复杂形状以及传统金属弹簧圈来防止弹簧圈移位。GDC 具有形状记忆功能，并且由于它们形成三维环，所以在物理上比传统金属弹簧圈更稳定。在这种情况下，使用少量弹簧圈成功实现了理想的脾梗死范围。这是关于在脾功能亢进的PSE中使用GDC的首例报告。
