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经臀上动脉对复发性髂内动脉瘤进行弹簧圈栓塞术。

Coil Embolization of Recurrent Internal Iliac Artery Aneurysm via the Superior Gluteal Artery.

作者信息

Fukumoto Takuro, Ogawa Yukihisa, Chiba Kiyoshi, Nawata Shintaro, Morikawa Shojiro, Miyairi Takeshi, Mimura Hidefumi, Nishimaki Hiroshi

机构信息

Department of Radiology, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.

Department of Radiology, Tokai University School of Medicine Hachioji Hospital, Hachioji, Tokyo, Japan.

出版信息

Ann Vasc Dis. 2023 Jun 25;16(2):135-138. doi: 10.3400/avd.cr.22-00116.

DOI:10.3400/avd.cr.22-00116
PMID:37359095
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10288119/
Abstract

We report a case of recurrent internal iliac artery aneurysm previously treated with a combination of stent graft placement and coil embolization in an 85 year-old male patient. The patient was scheduled for the direct puncture embolization of the superior gluteal artery. The patient was placed in a prone position under general anesthesia. An 18G-PTC needle was inserted into the superior gluteal artery under ultrasonographic guidance. A 2.2F microcatheter was inserted through an outer needle and advanced to the aneurysmal sac. Coil embolization was successfully performed without endoleaks. This approach is technically feasible when other treatment options fail or are deemed unsuitable.

摘要

我们报告了一例85岁男性患者复发性髂内动脉瘤的病例，该患者此前接受了支架移植物置入和弹簧圈栓塞联合治疗。患者计划接受臀上动脉直接穿刺栓塞术。患者在全身麻醉下取俯卧位。在超声引导下将一根18G-PTC针插入臀上动脉。通过外针插入一根2.2F微导管并推进至动脉瘤囊。成功进行了弹簧圈栓塞，无内漏。当其他治疗选择失败或被认为不合适时，这种方法在技术上是可行的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/818a/10288119/36a038f39d35/avd-16-2-cr.22-00116-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/818a/10288119/5e7ed6113497/avd-16-2-cr.22-00116-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/818a/10288119/74b68f9c3542/avd-16-2-cr.22-00116-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/818a/10288119/36a038f39d35/avd-16-2-cr.22-00116-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/818a/10288119/5e7ed6113497/avd-16-2-cr.22-00116-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/818a/10288119/74b68f9c3542/avd-16-2-cr.22-00116-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/818a/10288119/36a038f39d35/avd-16-2-cr.22-00116-figure03.jpg

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本文引用的文献

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J Vasc Surg Cases Innov Tech. 2018 Dec 31;5(1):12-13. doi: 10.1016/j.jvscit.2018.09.004. eCollection 2019 Mar.
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Unusual Access for the Treatment of Iliac Artery Aneurysm in Association with Type II Endoleak After Endovascular Repair of an Aortoiliac Aneurysm.在主动脉髂动脉瘤血管内修复术后，采用非常规入路治疗髂动脉瘤合并II型内漏。
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Successful Percutaneous Coil Embolization of a Ruptured Internal Iliac Artery Aneurysm Remnant after Abdominal Aortic Aneurysm Repair via the Deep Iliac Circumflex Artery.经旋髂深动脉对腹主动脉瘤修复术后破裂的髂内动脉瘤残余进行成功的经皮弹簧圈栓塞术
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Percutaneous transgluteal coil embolization of bilateral internal iliac artery aneurysms via direct superior gluteal artery access.经直接臀上动脉入路对双侧髂内动脉瘤进行经皮经臀线圈栓塞术。
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Direct sonographic-guided superior gluteal artery access for treatment of a previously treated expanding internal iliac artery aneurysm.直接超声引导下臀上动脉入路治疗复发性髂内动脉扩张性动脉瘤。
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