使用覆膜支架腔内治疗脾动脉瘤：一例报告
Endovascular Treatment of Splenic Artery Aneurysm With a Stent-Graft: A Case Report.
作者信息
Guang Li-Jun, Wang Jian-Feng, Wei Bao-Jie, Gao Kun, Huang Qiang, Zhai Ren-You
机构信息
From the Department of Interventional Radiology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot (LG); and Department of Interventional Radiology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China (JW, BW, KG, QH, RZ).
出版信息
Medicine (Baltimore). 2015 Dec;94(52):e2073. doi: 10.1097/MD.0000000000002073.
Splenic artery aneurysm, one of the most common visceral aneurysms, accounts for 60% of all visceral aneurysm cases. Open surgery is the traditional treatment for splenic artery aneurysm but has the disadvantages of serious surgical injuries, a high risk of complications, and a high mortality rate.We report a case who was presented with splenic artery aneurysm. A 54-year-old woman complained of upper left abdominal pain for 6 months. An enhanced computed tomography scan of the upper abdomen indicated the presence of splenic artery aneurysm. The splenic artery aneurysm was located under digital subtraction angiography and a 6/60 mm stent graft was delivered and released to cover the aneurysm. An enhanced computed tomography scan showed that the splenic artery aneurysm remained well separated, the stent graft shape was normal, and the blood flow was unobstructed after 1 year.This case indicates a satisfactory efficacy proving the minimal invasiveness of stent graft exclusion treatment for splenic artery aneurysm.
脾动脉瘤是最常见的内脏动脉瘤之一，占所有内脏动脉瘤病例的60%。开放手术是治疗脾动脉瘤的传统方法，但存在手术创伤严重、并发症风险高和死亡率高等缺点。我们报告一例脾动脉瘤患者。一名54岁女性因左上腹疼痛6个月前来就诊。上腹部增强计算机断层扫描显示存在脾动脉瘤。在数字减影血管造影下定位脾动脉瘤，然后输送并释放一个6/60毫米的覆膜支架以覆盖动脉瘤。增强计算机断层扫描显示，1年后脾动脉瘤仍保持良好分隔，覆膜支架形态正常，血流通畅。该病例表明疗效令人满意，证明了覆膜支架置入术治疗脾动脉瘤具有微创性。
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