联合血管内栓塞与开放手术治疗合并动静脉瘘的脾动脉瘤
Combined Endovascular Embolization and Open Surgery for Splenic Artery Aneurysm with Arteriovenous Fistula.
作者信息
Jiang Runde, Ding Xiangjiu, Jian Wencheng, Jiang Jianjun, Hu Sanyuan, Zhang Zongli
机构信息
Department of General Surgery, Qilu Hospital, Shandong University, Jinan, P.R. China.
Department of Vascular Surgery, Qilu Hospital, Shandong University, Jinan, P.R. China.
出版信息
Ann Vasc Surg. 2016 Jan;30:311.e1-4. doi: 10.1016/j.avsg.2015.07.036. Epub 2015 Oct 30.
Splenic artery aneurysm with arteriovenous fistula is extremely rare; however, it is clinically important because of the potential of aneurysm rupture and gastroesophageal variceal hemorrhage. Most previous cases were managed by surgery directly. We present a case which was successfully treated with combined endovascular embolization and open surgery. It may be a safe and effective approach to manage this entity.
伴有动静脉瘘的脾动脉瘤极为罕见；然而，由于动脉瘤破裂和胃食管静脉曲张出血的可能性，其在临床上具有重要意义。既往大多数病例直接通过手术治疗。我们报告一例通过血管内栓塞与开放手术联合成功治疗的病例。这可能是处理该疾病的一种安全有效的方法。
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