Acosta Stefan, Asciutto Giuseppe
Vascular Centre, Skåne University Hospital, Malmö, Sweden -
Int Angiol. 2016 Dec;35(6):573-578. Epub 2015 Sep 29.
The aim of this study was to report outcome and complications of endovascular therapy for visceral artery aneurysms (VAA).
Forty endovascular procedures for VAAs were performed in 33 patients between 2009 and 2014.
The main indications was size (N.=15), bleeding (N.=14) and mycotic aneurysm (N.=3). The splenic artery was the most common artery of true aneurysms (11/16) and pseudo aneurysms due to pancreatitis (5/14). The median size of the true aneurysms was 24 mm (range 15-65). Two ruptures of true VAAs occurred in elderly. Five patients had eleven synchronous artery aneurysms at CT abdomen. Local anesthesia was used in 93%. Coil embolization were performed without (N.=15) and with (N.=14) other techniques. Nine aneurysms were excluded with stent grafts and patency rate was 88%. Coil embolization was complicated by five spleen infarctions, managed with splenectomy (N.=1) and drainage of abscess (N.=1). One patient died, unrelated to the VAA.
Endovascular therapy of VAAs, irrespective of etiology, was an effective treatment option.
本研究的目的是报告内脏动脉瘤（VAA）血管内治疗的结果及并发症。
2009年至2014年间，对33例患者进行了40次VAA血管内手术。
主要指征为大小（n = 15）、出血（n = 14）和感染性动脉瘤（n = 3）。脾动脉是真性动脉瘤（11/16）和胰腺炎所致假性动脉瘤（5/14）最常见的发病部位。真性动脉瘤的中位大小为24 mm（范围15 - 65）。两名老年患者发生真性VAA破裂。5例患者腹部CT显示有11个同步动脉瘤。93%的手术采用局部麻醉。15例仅行弹簧圈栓塞，14例联合其他技术。9个动脉瘤采用覆膜支架隔绝，通畅率为88%。弹簧圈栓塞的并发症包括5例脾梗死，其中1例行脾切除术，1例行脓肿引流。1例患者死亡，与VAA无关。
无论病因如何，VAA的血管内治疗都是一种有效的治疗选择。
