Chen Julia Fayanne, Danahey James, Fischer Uwe, Nassiri Naiem
Division of Vascular and Endovascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Conn.
J Vasc Surg Cases Innov Tech. 2020 Sep 23;6(4):553-556. doi: 10.1016/j.jvscit.2020.09.004. eCollection 2020 Dec.
Recanalization of a splenic artery aneurysm owing to incomplete transcatheter coil embolization is uncommon. In addition to the challenges of inherent vessel tortuosity, reintervention via catheterization of the main splenic artery presents unique difficulties in navigating across potentially obstructive preexisting coils. We describe here the application of a low-profile microembolization platform, most commonly used in neurovascular interventions, in the treatment of a tortuous, expanding splenic artery aneurysm that had previously undergone failed coil embolization.
由于经导管弹簧圈栓塞不完全导致脾动脉瘤再通的情况并不常见。除了血管本身迂曲带来的挑战外,通过脾动脉主干插管进行再次干预在穿过可能造成阻塞的原有弹簧圈时存在独特困难。我们在此描述了一种通常用于神经血管介入的低轮廓微栓塞平台在治疗一例先前弹簧圈栓塞失败的迂曲、扩张性脾动脉瘤中的应用。