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胰腺移植假性动脉瘤弹簧圈栓塞术后持续出血:覆膜支架应作为主要治疗手段吗?

Persistent Bleeding after Coil Embolization of a Pancreatic Transplant Pseudoaneurysm: Should Covered Stents Be the Primary Management?

作者信息

Anand Keshav, Cizman Ziga, Smith Tyler, Strain David, Patel Suraj, Campsen Jeffrey, Baker Talia, Saad Wael

机构信息

Department of Radiology, University of Utah School of Medicine, Salt Lake City, Utah.

Division of Transplant and Hepatobiliary Surgery, University of Utah School of Medicine, Salt Lake City, Utah.

出版信息

Semin Intervent Radiol. 2023 Jul 20;40(3):283-285. doi: 10.1055/s-0043-1769763. eCollection 2023 Jun.

Abstract

Life-threatening arterial complications after pancreatic transplantation can be dire. Pseudoaneurysms can be challenging to treat. There are multiple strategies to treat such complications. We present a case of pancreatic pseudoaneurysm which was initially treated by coiling followed by subsequent covered stent placement for a more durable outcome. We advocate for a "stent first" approach to these lesions if feasible.

摘要

胰腺移植后危及生命的动脉并发症可能很严重。假性动脉瘤的治疗可能具有挑战性。治疗此类并发症有多种策略。我们报告一例胰腺假性动脉瘤病例,最初采用弹簧圈栓塞治疗,随后放置覆膜支架以获得更持久的疗效。如果可行,我们主张对这些病变采用“先支架”的方法。

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本文引用的文献

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Extrapancreatic pseudoaneurysm after pancreas transplantation.
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