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肝硬化患者胃左静脉动脉瘤的线圈栓塞治疗 1 例：病例报告及文献复习。

The First Case of Coil Embolization for Left Gastric Vein Aneurysm with Liver Cirrhosis: A Case Report and Review of the Literature.

机构信息

Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine, Japan.

Department of Diagnostic and Interventional Radiology, Osaka University Graduate School of Medicine, Japan.

出版信息

Intern Med. 2021 Aug 15;60(16):2617-2622. doi: 10.2169/internalmedicine.6565-20. Epub 2021 Mar 8.

DOI:10.2169/internalmedicine.6565-20
PMID:33678740
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8429308/
Abstract

We herein report the first case of interventional radiology for a left gastric vein aneurysm with a gastrorenal shunt. The etiology of the aneurysm was considered secondary to portal hypertension and liver cirrhosis due to hepatitis B virus infection. As the aneurysm was asymptomatic but had a tendency to expand, we successfully performed coil embolization for the aneurysm through a gastrorenal shunt.

摘要

我们在此报告首例经介入放射学治疗胃左静脉动脉瘤伴胃肾分流的病例。动脉瘤的病因被认为是由于乙型肝炎病毒感染导致的门静脉高压和肝硬化引起的。由于动脉瘤无症状但有扩张趋势，我们通过胃肾分流成功地对动脉瘤进行了线圈栓塞治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02e7/8429308/47e273d25772/1349-7235-60-2617-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02e7/8429308/5f096da715af/1349-7235-60-2617-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02e7/8429308/1925d9cb5f80/1349-7235-60-2617-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02e7/8429308/b3fcc0a0b594/1349-7235-60-2617-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02e7/8429308/47e273d25772/1349-7235-60-2617-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02e7/8429308/5f096da715af/1349-7235-60-2617-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02e7/8429308/1925d9cb5f80/1349-7235-60-2617-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02e7/8429308/b3fcc0a0b594/1349-7235-60-2617-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02e7/8429308/47e273d25772/1349-7235-60-2617-g004.jpg

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The First Case of Coil Embolization for Left Gastric Vein Aneurysm with Liver Cirrhosis: A Case Report and Review of the Literature.肝硬化患者胃左静脉动脉瘤的线圈栓塞治疗 1 例：病例报告及文献复习。
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本文引用的文献

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Endovascular treatment of a splenic vein aneurysm through a transhepatic approach.经肝途径腔内治疗脾静脉动脉瘤。
Diagn Interv Radiol. 2019 Mar;25(2):166-168. doi: 10.5152/dir.2019.18057.
2
Liver stiffness measured by transient elastography as predictor of prognoses following portosystemic shunt occlusion.瞬时弹性成像测量的肝硬度作为门体分流阻断后预后预测指标。
J Gastroenterol Hepatol. 2019 Jan;34(1):215-223. doi: 10.1111/jgh.14410. Epub 2018 Aug 23.
3
Results of Portosystemic Shunt Embolization in Selected Patients with Cirrhosis and Recurrent Hepatic Encephalopathy.
部分肝硬化和复发性肝性脑病患者门体分流栓塞术的结果
J Clin Exp Hepatol. 2017 Dec;7(4):300-304. doi: 10.1016/j.jceh.2017.03.012. Epub 2017 Apr 14.
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Endovascular stent graft for traumatic splenic vein aneurysm via percutaneous transsplenic access.经皮经脾途径置入血管内支架移植物治疗创伤性脾静脉瘤
Ann Surg Treat Res. 2016 Jul;91(1):56-8. doi: 10.4174/astr.2016.91.1.56. Epub 2016 Jun 30.
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Aneurysm of the left gastric vein in a patient with portal hypertension.门静脉高压患者的胃左静脉动脉瘤。
J Med Ultrason (2001). 2008 Sep;35(3):141-3. doi: 10.1007/s10396-008-0181-3. Epub 2008 Sep 19.
6
Prediction for Improvement of Liver Function after Balloon-Occluded Retrograde Transvenous Obliteration for Gastric Varices to Manage Portosystemic Shunt Syndrome.经皮球囊闭塞逆行静脉栓塞术治疗胃底静脉曲张门静脉分流综合征后肝功能改善的预测
J Vasc Interv Radiol. 2016 Aug;27(8):1160-7. doi: 10.1016/j.jvir.2016.03.031. Epub 2016 May 24.
7
Portal vein aneurysm presenting with obstructive jaundice.以梗阻性黄疸为表现的门静脉瘤
J Clin Imaging Sci. 2012;2:54. doi: 10.4103/2156-7514.100377. Epub 2012 Aug 30.
8
Visceral venous aneurysms: clinical presentation, natural history and their management: a systematic review.内脏静脉瘤：临床表现、自然病史及其管理：一项系统评价
Eur J Vasc Endovasc Surg. 2009 Oct;38(4):498-505. doi: 10.1016/j.ejvs.2009.05.016. Epub 2009 Jun 27.
9
Portal venous system aneurysms: imaging, clinical findings, and a possible new etiologic factor.门静脉系统动脉瘤：影像学表现、临床发现及一种可能的新病因
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J Gastrointest Surg. 2008 Jan;12(1):145-52. doi: 10.1007/s11605-007-0313-x. Epub 2007 Sep 11.