Xu Hao, Jing Cong, Zhou Jie, Min Xuli, Zhao Jing, Yang Lin, Ren Yongjun
Department of Interventional Radiology, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, P.R. China.
Department of Hepatobiliary Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan 637000, P.R. China.
Exp Ther Med. 2020 Dec;20(6):248. doi: 10.3892/etm.2020.9378. Epub 2020 Oct 22.
The present study aimed to investigate the clinical effectiveness and safety of endovascular embolization for the treatment of pseudoaneurysm secondary to previous abdominal and pelvic surgery or radiological percutaneous abdominal procedure. A retrospective review was performed on all patients with abdominal and pelvic pseudoaneurysm confirmed by CT angiography or digital subtraction angiography and treated with endovascular embolization. Different techniques of embolization with coils were applied and the outcomes, including clinical effectiveness and safety, were assessed. A total of 31 patients with a total of 32 pseudoaneurysms were included in the present study. Of these pseudoaneurysms, 23 were from the main trunks and branches of the gastroduodenal artery, 5 were from the splenic artery, 2 were from the common hepatic artery, 1 was from the right hepatic artery and 1 was from the right internal iliac artery. There were no serious complications observed and there was no occurrence of re-bleeding following embolization. The embolization of the pseudoaneurysms was successful in all patients. In conclusion, endovascular embolization is a safe and effective method for the treatment of secondary iatrogenic pseudoaneurysm in the abdomen and pelvis.
本研究旨在探讨血管内栓塞治疗既往腹部和盆腔手术或经皮腹部放射学检查后继发的假性动脉瘤的临床有效性和安全性。对所有经CT血管造影或数字减影血管造影确诊并接受血管内栓塞治疗的腹部和盆腔假性动脉瘤患者进行回顾性研究。采用不同的弹簧圈栓塞技术，并评估包括临床有效性和安全性在内的结果。本研究共纳入31例患者，共32个假性动脉瘤。在这些假性动脉瘤中，23个来自胃十二指肠动脉的主干和分支，5个来自脾动脉，2个来自肝总动脉，1个来自右肝动脉，1个来自右髂内动脉。未观察到严重并发症，栓塞后未发生再出血。所有患者的假性动脉瘤栓塞均成功。总之，血管内栓塞是治疗腹部和盆腔继发性医源性假性动脉瘤的一种安全有效的方法。
