Clinic of Vascular Surgery, East Slovak Institute of Cardiovascular Diseases, Faculty of Medicine, Pavol Jozef Šafárik University, Košice, Slovak Republic.
Uzhhorod National University, Medical Faculty, Department of Surgical Diseases, Uzhhorod, Ukraine.
Acta Medica (Hradec Kralove). 2020;63(1):43-48. doi: 10.14712/18059694.2020.14.
The paper presents the results of treating 14 patients, namely eight patients with visceral artery aneurysms and six patients with visceral artery pseudoaneurysms. In 64.3% of the patients, the initial diagnosis was made based on the ultrasound examination. All the patients (100%) underwent CT angiography, while angiography was performed in 71.4% of the cases. Five (35.7%) patients with visceral artery pseudoaneurysms were emergently hospitalized; among them, the signs of bleeding were observed in 2 patients. In 9 patients, pathology was detected during tests for other conditions. Five (35.7%) patients underwent endovascular treatment, while 9 (64.3%) patients received surgical treatment. Endovascular interventions and open surgery demonstrated a nil mortality rate. After endovascular treatment, stent thrombosis was found in 1 patient. In the case of surgical treatment, visceral artery aneurysm was observed in 1 patient who underwent the resection of superior mesenteric artery pseudoaneurysm. Conclusions. The choice of the method of treating visceral artery aneurysms and visceral artery pseudoaneurysms depends on the location, size, anatomic features of the visceral arteries and the clinical course of the disease. Both endovascular and surgical treatment demonstrate good postoperative outcomes. Visceral ischemia is one of the most serious complications in the postoperative period, which can complicate both the diagnosis and the choice of treatment tactics.
本文介绍了治疗 14 名患者的结果，其中包括 8 名内脏动脉动脉瘤患者和 6 名内脏动脉假性动脉瘤患者。在 64.3%的患者中，最初的诊断是基于超声检查做出的。所有患者（100%）均接受了 CT 血管造影检查，而血管造影检查在 71.4%的病例中进行。5 名（35.7%）内脏动脉假性动脉瘤患者紧急住院；其中 2 名患者出现出血迹象。在 9 名患者中，在检测其他病症时发现了病变。5 名（35.7%）患者接受了血管内治疗，9 名（64.3%）患者接受了手术治疗。血管内介入治疗和开放手术均未导致死亡。血管内治疗后，1 名患者出现支架血栓形成。在手术治疗中，1 名患者观察到肠系膜上动脉假性动脉瘤，行切除术。结论。治疗内脏动脉动脉瘤和内脏动脉假性动脉瘤的方法选择取决于内脏动脉的位置、大小、解剖特征和疾病的临床过程。血管内和手术治疗均显示出良好的术后效果。内脏缺血是术后最严重的并发症之一，这可能会使诊断和治疗策略的选择复杂化。
