Foo Eric T, Kumar Vishal, Nanavati Sujal M, Huo Eugene, Wilson Mark W, Conrad Miles B
Department of Radiology and Biomedical Imaging, University of California San Francisco, 185 Berry Street NW, Suite 350, Lobby 6, San Francisco, CA, 94107, USA.
Emerg Radiol. 2018 Dec;25(6):719-722. doi: 10.1007/s10140-018-1636-5. Epub 2018 Aug 28.
Management of splenic pseudoaneurysms in hemodynamically stable patients has shifted toward nonoperative management, including watchful waiting and endovascular embolization. Standard of treatment does not include percutaneous embolization for splenic pseudoaneurysm repair. In this case report, we document a successful percutaneous embolization of a post traumatic splenic pseudoaneurysm with thrombin. Percutaneous embolization of splenic pseudoaneurysms can be considered a viable technique in patients who fail endovascular embolization or have lesions inaccessible to endovascular repair.
对于血流动力学稳定的脾假性动脉瘤患者，其治疗已转向非手术管理，包括密切观察和血管内栓塞。治疗标准不包括经皮栓塞修复脾假性动脉瘤。在本病例报告中，我们记录了使用凝血酶成功经皮栓塞创伤后脾假性动脉瘤的过程。对于血管内栓塞失败或存在血管内修复无法到达的病变的患者，经皮栓塞脾假性动脉瘤可被视为一种可行的技术。
