内镜超声引导下使用线圈和胶水治疗脾动脉假性动脉瘤：新技术！
Endoscopic ultrasound-guided coil and glue for treatment of splenic artery pseudo-aneurysm: new kid on the block!
作者信息
Rai Praveer, Kc Harish, Goel Amit, Aggarwal Rakesh, Sharma Malay
机构信息
Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Department of Gastroenterology, Jaswant Rai Speciality Hospital, Meerut, Uttar Pradesh, India.
出版信息
Endosc Int Open. 2018 Jul;6(7):E821-E825. doi: 10.1055/a-0608-4402. Epub 2018 Jul 4.
BACKGROUND AND STUDY AIMS
Pseudoaneurysm most commonly involves the splenic artery and is conventionally treated with angioembolization or surgery. Herein we describe six patients with splenic artery pseudoaneurysm who were treated using a new technique of endoscopic ultrasound (EUS)-guided glue and coil injection.
PATIENTS AND METHODS
Six patients (median age 36.7, range: 19 - 60, M: F = 5:1) with splenic artery pseudoaneurysm who had failed angiographic embolization underwent EUS-guided transgastric injection of coil and glue injection between July 2016 and September 2017.
RESULTS
The diameter of the splenic artery pseudoaneurysms varied from 2.5 cm to 6.5 cm The size (8, 14 and 16 mm) and number (1 to 5) of coils and amount of glue (1 - 2 mL) injected all were greater in larger aneurysm. All six patients had complete occlusion of the pseudoaneurysm as determined by using computed tomography at 4 weeks and EUS at 12 weeks. No complication was encountered.
CONCLUSION
EUS-guided coil and glue injection for obliteration of splenic artery pseudoaneurysm is a feasible, highly effective and safe technique.
背景与研究目的
脾动脉假性动脉瘤最为常见，传统上采用血管栓塞术或手术治疗。在此，我们描述6例脾动脉假性动脉瘤患者，他们接受了一种内镜超声（EUS）引导下注射胶水和弹簧圈的新技术治疗。
患者与方法
2016年7月至2017年9月期间，6例脾动脉假性动脉瘤患者（年龄中位数36.7岁，范围：19 - 60岁，男:女 = 5:1），血管造影栓塞术治疗失败后，接受了EUS引导下经胃注射弹簧圈和胶水。
结果
脾动脉假性动脉瘤直径在2.5 cm至6.5 cm之间。较大的动脉瘤注射的弹簧圈尺寸（8、14和16 mm）和数量（1至5个）以及胶水用量（1 - 2 mL）均更多。通过计算机断层扫描在4周时以及EUS在12周时确定，所有6例患者的假性动脉瘤均完全闭塞。未出现并发症。
结论
EUS引导下注射弹簧圈和胶水闭塞脾动脉假性动脉瘤是一种可行、高效且安全的技术。
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