Dong Shui-Lin, Chen Xiao, Tu Zhen-Xiao, Ai Xi, Zhang Zhi-Wei, Guan Yan, Chen Hong, Yang Jun
Division of Vascular Surgery, Hepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Ann Vasc Surg. 2018 Apr;48:251.e5-251.e10. doi: 10.1016/j.avsg.2017.09.021. Epub 2017 Dec 6.
Aneurysm of splenic artery (SA) which arises from the superior mesenteric artery (SMA) is a very rare condition. The aim of this study was to present our experience with 2 such patients treated by coil embolization.
A 33-year-old man and a 61-year-old woman were incidentally identified with aneurysms of the SA which arose from the SMA. Endovascular therapy of coil embolization was chosen to treat the aneurysm.
Follow-up computed tomography showed no change in the location of the coils and occlusion of majority of the aneurysm sac. The 2 patients have been doing well during a 26-month and 10-month follow-up period, respectively.
Combined with the experience of the previous literature, we think coil embolization can be cost-effective and minimally invasive in selected cases, depending on the morphology and site of the lesion.
起源于肠系膜上动脉（SMA）的脾动脉（SA）动脉瘤是一种非常罕见的疾病。本研究的目的是介绍我们对2例接受弹簧圈栓塞治疗的此类患者的经验。
一名33岁男性和一名61岁女性偶然发现患有起源于SMA的SA动脉瘤。选择弹簧圈栓塞的血管内治疗方法来治疗动脉瘤。
随访计算机断层扫描显示弹簧圈位置无变化，且大部分动脉瘤囊闭塞。这2例患者在分别为期26个月和10个月的随访期间情况良好。
结合既往文献经验，我们认为根据病变的形态和部位，弹簧圈栓塞在某些病例中可具有成本效益且微创。
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