Michell Hans, Johnston Gregory, Nezami Nariman, Morris Christopher S
Section of Interventional Radiology, Cleveland Clinic Hospital, Cleveland, Ohio.
Larner College of Medicine, University of Vermont Medical Center, Burlington, Vt.
J Vasc Surg Cases Innov Tech. 2020 Nov 10;7(1):35-39. doi: 10.1016/j.jvscit.2020.11.002. eCollection 2021 Mar.
Aortic injury is a frequently encountered condition that can present as a life-threatening emergency. When this injury occurs in the retroperitoneal portion of the aorta, it can be difficult to diagnose and treat because of the location. Although surgical repair remains the mainstay of treatment, surgery might not be an option for some patients. We have presented a case of a 54-year-old nonoperative candidate who had experienced iatrogenic retroperitoneal abdominal aortic rupture with pseudoaneurysm formation. The patient was successfully treated with the novel use of a proven technique: direct percutaneous embolization of the pseudoaneurysm sac via a translumbar approach under image guidance.
主动脉损伤是一种常见的病症，可能表现为危及生命的紧急情况。当这种损伤发生在主动脉的腹膜后部分时，由于其位置原因，诊断和治疗可能会很困难。尽管手术修复仍然是主要的治疗方法，但对于一些患者来说，手术可能不是一个选择。我们报告了一例54岁不适合手术的患者，该患者发生了医源性腹膜后腹主动脉破裂并形成假性动脉瘤。通过一种已证实技术的新应用，即经腰入路在影像引导下直接经皮栓塞假性动脉瘤囊，该患者得到了成功治疗。
