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巨大肠系膜下动脉瘤经动脉栓塞术后的短期和长期随访

Short- and long-term follow-up after transarterial embolization of a giant inferior mesenteric artery aneurysm.

作者信息

Jesus-Silva Seleno Glauber de, Moraes-Silva Melissa Andreia de, Rieira Bruno Cardoso, Nasser Felipe, Cardoso Rodolfo Souza

机构信息

Department of Vascular and Endovascular Surgery, Hospital de Clínicas de Itajuba, Itajubá/MG, Brazil.

Department of Interventional Radiology, Albert Einstein Israeli Hospital, São Paulo, Brazil.

出版信息

J Vasc Surg Cases Innov Tech. 2018 Dec 10;4(4):315-318. doi: 10.1016/j.jvscit.2018.07.005. eCollection 2018 Dec.

DOI:10.1016/j.jvscit.2018.07.005
PMID:30761376
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6298940/
Abstract

Among the cases of visceral artery aneurysms, those that involve the inferior mesenteric artery are the most uncommon, with a prevalence of <1%. This study reports a giant symptomatic inferior mesenteric artery aneurysm and its endovascular treatment by means of percutaneous embolization with the implantation of pushable coils. After complete occlusion of the aneurysm, adequate maintenance of arterial supply of the left colon and resolution of the symptoms were observed. In the 2-year follow-up, a significant reduction in the aneurysm's volume and maintenance of the clinical condition were observed.

摘要

在内脏动脉瘤病例中，累及肠系膜下动脉的病例最为罕见，患病率<1%。本研究报告了一例巨大有症状的肠系膜下动脉动脉瘤及其通过植入可推送线圈进行经皮栓塞的血管内治疗。动脉瘤完全闭塞后，观察到左半结肠动脉供应得以充分维持且症状缓解。在2年的随访中，观察到动脉瘤体积显著缩小且临床状况得以维持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc4/6298940/de79c4550322/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc4/6298940/743aa36c8086/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc4/6298940/1f22de93b1a4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc4/6298940/de79c4550322/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc4/6298940/743aa36c8086/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc4/6298940/1f22de93b1a4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dc4/6298940/de79c4550322/gr3.jpg

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本文引用的文献

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慢性夹层胸主动脉瘤行胸腹主动脉置换术后并发肠系膜下动脉瘤伴腹腔干和肠系膜上动脉闭塞
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Multiple Visceral Artery Aneurysms: An Uncommon Manifestation of Antineutrophil Cytoplasmic Antibody Vasculitis.多发性内脏动脉瘤：抗中性粒细胞胞浆抗体血管炎的罕见表现
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