采用 Pipeline 栓塞装置（PED）辅助线圈栓塞术治疗复杂肾动脉瘤。
Endovascular repair of a complex renal artery aneurysm using Pipeline Embolization Device (PED) assisted coil embolization.
机构信息
Division of Interventional Radiology, UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Division of Interventional Neuroradiology, UCLA Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
出版信息
J Radiol Case Rep. 2021 Oct 1;15(10):1-9. doi: 10.3941/jrcr.v15i10.4156. eCollection 2021 Oct.
BACKGROUND
We describe the treatment of a renal artery aneurysm with complex anatomy using coils and the PipelineTM Embolization Device (Medtronic, Irvine, CA), a flow-diverting stent typically used for the treatment of intracranial aneurysms.
METHODS
A 62-year-old female with history of an asymptomatic right renal artery aneurysm that was discovered incidentally 10 years ago was found to have enlargement of the aneurysm (1.9cm to 2.7cm) on a repeat surveillance CT scan. She was successfully treated with combined Pipeline Embolization Device and coil embolization of the aneurysm sac.
RESULTS
Post-procedural angiography showed complete occlusion of the aneurysm with maintenance of perfusion to the entire kidney.
CONCLUSION
Pipeline assisted coil embolization may be an option for parenchyma-sparing treatment of renal artery aneurysms with complex anatomy.
背景
我们描述了使用线圈和 PipelineTM 栓塞装置（美敦力，欧文，加利福尼亚）治疗具有复杂解剖结构的肾动脉动脉瘤的情况，该装置是一种通常用于治疗颅内动脉瘤的血流导向支架。
方法
一名 62 岁女性，10 年前偶然发现无症状的右肾动脉动脉瘤，在重复 CT 扫描时发现动脉瘤增大（1.9cm 至 2.7cm）。她成功地接受了 Pipeline 栓塞装置联合线圈栓塞治疗。
结果
术后血管造影显示动脉瘤完全闭塞，整个肾脏的灌注得以维持。
结论
对于具有复杂解剖结构的肾动脉动脉瘤，Pipeline 辅助线圈栓塞可能是一种保留实质的治疗选择。
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