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胰十二指肠下动脉宽颈动脉瘤的球囊辅助弹簧圈栓塞术（BACE）

Balloon-assisted coil embolization (BACE) of a wide-necked aneurysm of the inferior pancreaticoduodenal artery.

作者信息

Modestino Francesco, Cappelli Alberta, Mosconi Cristina, Peta Giuliano, Bruno Antonio, Vara Giulio, De Benedictis Caterina, Golfieri Rita

机构信息

Department of Diagnostic Medicine and Prevention, Radiology Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.

出版信息

CVIR Endovasc. 2020 Sep 5;3(1):62. doi: 10.1186/s42155-020-00155-w.

DOI:10.1186/s42155-020-00155-w
PMID:32889684
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7474725/
Abstract

BACKGROUND

Aneurysms of the pancreaticoduodenal arcades are an uncommon pathology, with a prevalence of 2%, and could be congenital or acquired. Treatment of visceral aneurysms is therefore generally recommended when the aneurysmal sac equals or exceeds 2 cm. Wide-necked (> 4 mm) and main artery branch aneurysms represent a challenge for conventional endovascular coil embolization due to the risk of coil migration.

MAIN BODY

This case describes the technical feasibility of balloon-assisted coil embolization (BACE) in the treatment a wide neck aneurysm of inferior pancreatic duodenal artery due to celiac axis occlusion.

SHORT CONCLUSION

In case of celiac trunk occlusion, BACE is a safe procedure associated with optimal technical success rates, in order to treat the aneurysms and to preserve splanchnic vascularization.

摘要

背景

胰十二指肠动脉弓动脉瘤是一种罕见的病理情况，患病率为2%，可能是先天性或后天性的。因此，当动脉瘤囊等于或超过2厘米时，通常建议治疗内脏动脉瘤。由于存在线圈移位的风险，宽颈（>4毫米）和主要动脉分支动脉瘤对传统血管内线圈栓塞术构成挑战。

主体

本病例描述了球囊辅助线圈栓塞术（BACE）治疗因腹腔干闭塞导致的胰十二指肠下动脉宽颈动脉瘤的技术可行性。

简短结论

在腹腔干闭塞的情况下，BACE是一种安全的手术，具有最佳的技术成功率，可用于治疗动脉瘤并保留内脏血管化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7900/7474725/5ff3d4b89609/42155_2020_155_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7900/7474725/658e003fc781/42155_2020_155_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7900/7474725/a2644089272e/42155_2020_155_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7900/7474725/5ff3d4b89609/42155_2020_155_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7900/7474725/658e003fc781/42155_2020_155_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7900/7474725/a2644089272e/42155_2020_155_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7900/7474725/5ff3d4b89609/42155_2020_155_Fig3_HTML.jpg

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Endovascular Treatment of Visceral Artery Aneurysms and Pseudoaneurysms in 100 Patients: Covered Stenting vs Transcatheter Embolization.100 例内脏动脉动脉瘤和假性动脉瘤的血管内治疗：覆膜支架与经导管栓塞治疗比较。
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Systematic Review and Single-Center Experience for Endovascular Management of Visceral and Renal Artery Aneurysms.
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