Tihansky D P, Lluncor E
Angiology. 1986 Jul;37(7):530-4. doi: 10.1177/000331978603700707.
Embolization of splenic artery aneurysms is recommended in young women to prevent likely rupture and exsanguination during pregnancy. This report describes the successful coil occlusion of multiple mycotic aneurysms in such a patient, who was also treated interventionally for gastric hemorrhage and hypersplenism. Although infection or sepsis is a rare cause of visceral aneurysms, it is associated with a high incidence of rupture and peritonitis. Complications from elective embolization include abscess formation within the spleen and focal infarction in the upper alimentary tract. However, such risks should be minimized by appropriate selection of embolic materials and prophylactic care of the patient.
建议对年轻女性的脾动脉瘤进行栓塞,以防止在怀孕期间可能发生的破裂和大出血。本报告描述了一名此类患者成功通过线圈栓塞多个真菌性动脉瘤的案例,该患者还接受了针对胃出血和脾功能亢进的介入治疗。尽管感染或败血症是内脏动脉瘤的罕见病因,但它与破裂和腹膜炎的高发生率相关。选择性栓塞的并发症包括脾内脓肿形成和上消化道局灶性梗死。然而,通过适当选择栓塞材料和对患者进行预防性护理,此类风险应降至最低。