肾和脾动脉瘤的最佳监测和治疗。
Optimal surveillance and treatment of renal and splenic artery aneurysms.
机构信息
Advanced Cardiac Imaging Fellow, Section of Cardiovascular Imaging, Heart Vascular, and Thoracic Institute, Cleveland Clinic
Staff Cardiologist, Section of Cardiovascular Imaging and Medical Director, Aorta Center, Heart, Vascular, and Thoracic Institute, Cleveland Clinic; Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH.
出版信息
Cleve Clin J Med. 2020 Nov 23;87(12):755-758. doi: 10.3949/ccjm.87a.19140-2.
Aneurysms of the renal artery and splenic artery are uncommon but clinically important, as they pose a risk of rupture with a high fatality rate. Indications for surgical or endovascular repair are based on aneurysm location and risk factors for rupture, such as aneurysm size, growth, and associated conditions, while medical management is also important. Regular surveillance with imaging is critical before and after intervention to guide treatment.
肾动脉和脾动脉瘤并不常见，但具有重要的临床意义，因为它们有破裂的风险，且死亡率较高。手术或血管内修复的适应证取决于动脉瘤的位置和破裂的危险因素，如动脉瘤的大小、生长和相关情况，同时，药物治疗也很重要。在干预前后，通过影像学进行定期监测对于指导治疗至关重要。
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