了解血管解剖结构是成功进行胰十二指肠动脉瘤血管内治疗的关键。
Understanding Vascular Anatomy is Key to Successful Endovascular Treatment of Pancreaticoduodenal Artery Aneurysms.
作者信息
Hirano Koji, Tokui Toshiya, Nakamura Bun, Inoue Ryosai, Hirano Reina, Maze Yasumi, Chino Shuji, Ito Hisato, Shomura Yu, Takao Motoshi
机构信息
Department of Thoracic and Cardiovascular Surgery, Ise Red Cross Hospital.
Department of Radiology, Ise Red Cross Hospital.
出版信息
Ann Vasc Dis. 2020 Sep 25;13(3):330-334. doi: 10.3400/avd.cr.20-00011.
Pancreaticoduodenal artery aneurysm (PDAA) is a rare disease without treatment guidelines. We present two patients with PDAA. The first patient was a 70-year-old man with a pseudoaneurysm in the anterior superior pancreaticoduodenal artery (ASPDA), for which we achieved exclusion by endovascular coil embolization. The second patient was a 63-year-old woman with a PDAA in the ASPDA with celiac axis obstruction. Endovascular coil embolization of the aneurysm and the ASPDA was successful without visceral organ ischemia. Endovascular treatment is effective for PDAAs, but careful evaluation of collateral circulation is vital in PDAAs with celiac axis obstruction.
胰十二指肠动脉动脉瘤（PDAA）是一种罕见疾病，尚无治疗指南。我们报告了两名PDAA患者。首例患者为一名70岁男性，其胰十二指肠上前动脉（ASPDA）存在假性动脉瘤，我们通过血管内弹簧圈栓塞术成功实现了隔绝。第二例患者为一名63岁女性，其ASPDA存在PDAA且伴有腹腔干梗阻。对动脉瘤和ASPDA进行血管内弹簧圈栓塞术成功，未出现内脏器官缺血情况。血管内治疗对PDAA有效，但对于伴有腹腔干梗阻的PDAA，仔细评估侧支循环至关重要。
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