未破裂肋间动脉瘤的血管内治疗
Endovascular management of unruptured intercostal artery aneurysms.
作者信息
Fenwick Andrew, Omotoso Patrick, Ferguson Darren
机构信息
1Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland A1B 3V6 Canada.
2Department of General Surgery, Dalhousie University, Saint John, New Brunswick Canada.
出版信息
CVIR Endovasc. 2019;2(1):2. doi: 10.1186/s42155-018-0048-7. Epub 2019 Jan 4.
BACKGROUND
Intercostal artery aneurysms are rare vascular abnormalities that are typically diagnosed following rupture in patients with predisposing conditions. Our report is the first to document a patient with unruptured intercostal artery aneurysms in the absence of any associated disease.
CASE PRESENTATION
A 70-year-old male with prostatic adenocarcinoma was incidentally discovered to have multiple unruptured aneurysms of his intercostal arteries. Three of the aneurysms were embolized utilizing microcoils and glue. At six-month follow-up the patient remained asymptomatic.
CONCLUSION
We demonstrate successful endovascular management of a unique case of multiple idiopathic unruptured intercostal artery aneurysms. Appropriate diagnosis and prompt treatment of these rare vascular lesions is essential in preventing the potentially catastrophic consequences of rupture.
背景
肋间动脉瘤是罕见的血管异常，通常在有易感因素的患者破裂后才得以诊断。我们的报告首次记录了一名无任何相关疾病的未破裂肋间动脉瘤患者。
病例介绍
一名患有前列腺腺癌的70岁男性偶然发现有多发性未破裂肋间动脉瘤。其中三个动脉瘤采用微线圈和胶水进行了栓塞。在六个月的随访中，患者仍无症状。
结论
我们展示了对一例独特的多发性特发性未破裂肋间动脉瘤成功进行血管内治疗。对这些罕见血管病变进行恰当诊断和及时治疗对于预防破裂可能带来的灾难性后果至关重要。
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