Gorsi Ujjwal, Chaluvashetty Shreedhara, Kalra Naveen, Kang Mandeep, Bhatia Vikas, Lal Anupam, Singhal Manphool, Vyas Sameer, Ahuja Chirag Kamal, Kumar Ajay, Gupta Vivek, Khandelwal Niranjan
Department of Radio Diagnosis, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Minim Invasive Ther Allied Technol. 2020 Jun;29(3):170-176. doi: 10.1080/13645706.2019.1606019. Epub 2019 Apr 23.
To evaluate the feasibility and outcome of percutaneous glue embolisation as primary treatment for pseudoaneurysms in selective patients. A review of the pseudoaneurysm cases managed with percutaneous glue at our institute was analyzed in this study. A total of 21 patients over a period of last one year who were treated for pseudoaneurysm at varied sites primarily with percutaneous n-butyl cynoacrylate were retrospectively evaluated. Site of pseudoaneurysm was Pulmonary (seven cases), renal (four cases), pelvic (4four cases) and miscellaneous abdomen (six cases). Combined ultrasound and fluoroscopy approach was used in 17 cases, CT guidance in three cases and combined ultrasound and CT guidance in one case. Patients were evaluated for therapeutic response (radiological and clinical) and procedure related complications. Complete occlusion of the pseudoaneurysm was seen in all patients. Two patients showed mild pneumothorax and one patient showed reflux into the intercostal artery. All the patients showed symptomatic improvement and discharged in stable condition. Percutaneous glue embolisation of the pseudoaneurysms as a primary treatment is feasible and can be safely carried out in select group of patients with good therapeutic response and minimal complications.
评估经皮胶水栓塞术作为选择性患者假性动脉瘤主要治疗方法的可行性和疗效。本研究分析了我院采用经皮胶水治疗的假性动脉瘤病例。回顾性评估了过去一年中主要采用经皮正丁基氰基丙烯酸酯治疗不同部位假性动脉瘤的21例患者。假性动脉瘤的部位为肺部（7例）、肾脏（4例）、盆腔（4例）和腹部其他部位（6例）。17例采用超声和荧光透视联合方法，3例采用CT引导，1例采用超声和CT联合引导。评估患者的治疗反应（影像学和临床）及与操作相关的并发症。所有患者的假性动脉瘤均完全闭塞。2例患者出现轻度气胸，1例患者出现肋间动脉反流。所有患者症状均有改善，出院时病情稳定。经皮胶水栓塞术作为假性动脉瘤的主要治疗方法是可行的，在选定的患者组中可以安全进行，治疗反应良好且并发症最少。
