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采用烟囱技术治疗快速扩张的腹腔干动脉瘤。

Management of a rapidly expanding celiac artery aneurysm with the chimney technique.

作者信息

Coelho Andreia, Monteiro Pedro, Nogueira Clara, Gouveia Ricardo, Semião Ana Carolina, Canedo Alexandra

机构信息

Centro Hospitalar de Vila Nova de Gaia e Espinho, Vila Nova de Gaia, Portugal.

Faculdade de Medicina da Universidade do Porto, Porto, Portugal.

出版信息

J Vasc Surg Cases Innov Tech. 2018 Aug 30;4(3):252-256. doi: 10.1016/j.jvscit.2018.05.006. eCollection 2018 Sep.

DOI:10.1016/j.jvscit.2018.05.006
PMID:30186997
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6122381/
Abstract

Infective celiac artery aneurysm is an extremely rare diagnosis, with few reported cases in the literature. We present the case of a rapidly expanding celiac artery aneurysm involving the ostia, probably infectious, successfully treated in an urgent setting by aneurysm exclusion resorting to the chimney technique. On follow-up, computed tomography angiography revealed complete aneurysm thrombosis and patent celiac artery. Previous reports of endovascular treatment of infective celiac artery aneurysm involved its embolization. This is the first reported case of chimney technique used to exclude a celiac artery aneurysm, with a clinical suspicion of infectious etiology, preserving celiac artery patency. Short-term results are encouraging, but implantation of prosthetic material in an infected environment is a concern.

摘要

感染性腹腔干动脉瘤是一种极为罕见的诊断，文献中报道的病例很少。我们报告一例迅速扩大的累及开口处的腹腔干动脉瘤病例，可能为感染性，在紧急情况下通过采用烟囱技术进行动脉瘤排除成功治疗。随访时，计算机断层血管造影显示动脉瘤完全血栓形成且腹腔干动脉通畅。先前关于感染性腹腔干动脉瘤血管内治疗的报道涉及栓塞治疗。这是首例报道使用烟囱技术排除临床怀疑有感染病因的腹腔干动脉瘤并保留腹腔干动脉通畅的病例。短期结果令人鼓舞，但在感染环境中植入人工材料令人担忧。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e955/6122381/d2067ff93ee1/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e955/6122381/a0c5e5f8f623/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e955/6122381/f2e7dc9263cb/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e955/6122381/0cc9f673c8d8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e955/6122381/d2067ff93ee1/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e955/6122381/a0c5e5f8f623/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e955/6122381/f2e7dc9263cb/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e955/6122381/0cc9f673c8d8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e955/6122381/d2067ff93ee1/gr4.jpg

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