腹腔干狭窄和胰十二指肠动脉瘤的治疗选择
Treatment Options for Celiac Stenosis and Pancreaticoduodenal Artery Aneurysms.
作者信息
Takeuchi Yuriko, Morikage Noriyasu, Samura Makoto, Harada Takasuke, Yamashita Osamu, Suehiro Kotaro, Okada Munemasa, Hamano Kimikazu
机构信息
Department of Surgery and Clinical Science, Division of Vascular Surgery, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan.
Department of Surgery and Clinical Science, Division of Vascular Surgery, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan.
出版信息
Ann Vasc Surg. 2017 May;41:281.e21-281.e23. doi: 10.1016/j.avsg.2016.10.036. Epub 2017 Feb 24.
Celiac stenosis may result in a pancreaticoduodenal artery aneurysm (PDAA). Celiac stenosis with a PDAA is rare and treatment guidelines are absent. Here, we report 4 cases of celiac stenosis treated using different methods. Of these, 3 involved PDAAs. The PDAAs were successfully treated with coil embolization. For celiac stenosis, we performed open surgery for decompression in 1 patient, stenting in 2 patients, and bypass grafting in 1 patient. In the patients who underwent stenting, stent-associated thrombosis occurred. PDAAs can be treated with coil embolization; however, treatment of celiac stenosis with the endovascular approach might be difficult.
腹腔干狭窄可能导致胰十二指肠动脉动脉瘤（PDAA）。伴有PDAA的腹腔干狭窄较为罕见，且缺乏治疗指南。在此，我们报告4例采用不同方法治疗的腹腔干狭窄病例。其中，3例涉及PDAA。这些PDAA通过弹簧圈栓塞成功治疗。对于腹腔干狭窄，我们对1例患者进行了开放手术减压，对2例患者进行了支架置入，对1例患者进行了旁路移植术。接受支架置入的患者发生了支架相关血栓形成。PDAA可通过弹簧圈栓塞治疗；然而，采用血管内方法治疗腹腔干狭窄可能会有困难。
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