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超声引导下经皮线圈和凝血酶栓塞治疗胃左动脉假性动脉瘤

Ultrasound-guided percutaneous coil and thrombin embolization of a left gastric artery pseudoaneurysm.

作者信息

Farrell Aidan, Biswal Rajiv

机构信息

Hackensack Meridian School of Medicine, 123 Metro Blvd, Nutley, NJ 07110, USA.

Jersey Shore University Medical Center, 1945 NJ-33, Neptune, NJ 07753, USA.

出版信息

Radiol Case Rep. 2023 Sep 23;18(12):4281-4286. doi: 10.1016/j.radcr.2023.09.013. eCollection 2023 Dec.

DOI:10.1016/j.radcr.2023.09.013
PMID:37771379
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10522854/
Abstract

Pseudoaneurysms are a commonly encountered pathology, though pseudoaneurysms of the visceral arteries are a less frequent, but potentially deadly entity. Transarterial embolization is the typical treatment of visceral pseudoaneurysms, but success is dependent on anatomy that is conducive to selecting the supplying vessel. Abdominal ultrasound is a viable method to effectively treat visceral pseudoaneurysms when transarterial embolization is not possible. It is also an excellent example of the growing utilization of ultrasound guidance in various interventional radiologic procedures. The usefulness of ultrasound is demonstrated in this case report, where a left gastric artery pseudoaneurysm was embolized through ultrasound guidance.

摘要

假性动脉瘤是一种常见的病理情况,尽管内脏动脉假性动脉瘤较为少见,但却是一种潜在的致命病变。经动脉栓塞是内脏假性动脉瘤的典型治疗方法,但成功与否取决于有利于选择供血血管的解剖结构。当无法进行经动脉栓塞时,腹部超声是有效治疗内脏假性动脉瘤的可行方法。这也是超声引导在各种介入放射学程序中日益广泛应用的一个很好例子。本病例报告展示了超声的有效性,其中一例胃左动脉假性动脉瘤通过超声引导进行了栓塞。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58d5/10522854/50c4fd45568e/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58d5/10522854/63a045f9976d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58d5/10522854/37afa3fbb1d9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58d5/10522854/6f72466f77b4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58d5/10522854/3677e6dc2f25/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58d5/10522854/95ec8d26b4bc/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58d5/10522854/77ce345b2e94/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58d5/10522854/50c4fd45568e/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58d5/10522854/63a045f9976d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58d5/10522854/37afa3fbb1d9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58d5/10522854/6f72466f77b4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58d5/10522854/3677e6dc2f25/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58d5/10522854/95ec8d26b4bc/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58d5/10522854/77ce345b2e94/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58d5/10522854/50c4fd45568e/gr7.jpg

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本文引用的文献

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Dig Dis Sci. 2023 May;68(5):1959-1965. doi: 10.1007/s10620-022-07776-2. Epub 2022 Dec 7.
2
Interventional Ultrasound in Dermatology: A Pictorial Overview Focusing on Cutaneous Melanoma Patients.介入超声在皮肤科的应用:以皮肤黑素瘤患者为重点的影像学概述。
J Ultrasound Med. 2022 Dec;41(12):3137-3144. doi: 10.1002/jum.16073. Epub 2022 Aug 3.
3
Splenic Artery Pseudoaneurysms: The Role of ce-CT for Diagnosis and Treatment Planning.
脾动脉假性动脉瘤:CT血管造影在诊断及治疗规划中的作用
Diagnostics (Basel). 2022 Apr 17;12(4):1012. doi: 10.3390/diagnostics12041012.
4
Superior Mesenteric Artery Pseudoaneurysm Induced by Accidental Ingestion of a Foreign Body: Case Report.意外吞食异物导致的肠系膜上动脉假性动脉瘤:病例报告
EJVES Vasc Forum. 2022 Jan 10;54:36-39. doi: 10.1016/j.ejvsvf.2022.01.002. eCollection 2022.
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Left gastric artery pseudo-aneurysm post sleeve gastrectomy: A case report.袖状胃切除术后左胃动脉假性动脉瘤:一例报告
Int J Surg Case Rep. 2020;76:183-185. doi: 10.1016/j.ijscr.2020.09.121. Epub 2020 Sep 21.
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Usefulness of doppler techniques in the diagnosis of peripheral iatrogenic pseudoaneurysms secondary to minimally invasive interventional and surgical procedures: imaging findings and diagnostic performance study.多普勒技术在微创介入和手术治疗后外周医源性假性动脉瘤诊断中的应用:影像学表现和诊断性能研究。
J Ultrasound. 2020 Dec;23(4):563-573. doi: 10.1007/s40477-020-00475-6. Epub 2020 May 20.
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J Ultrasound. 2019 Dec;22(4):485-489. doi: 10.1007/s40477-019-00398-x. Epub 2019 Jul 20.
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