Farrell Aidan, Biswal Rajiv
Hackensack Meridian School of Medicine, 123 Metro Blvd, Nutley, NJ 07110, USA.
Jersey Shore University Medical Center, 1945 NJ-33, Neptune, NJ 07753, USA.
Radiol Case Rep. 2023 Sep 23;18(12):4281-4286. doi: 10.1016/j.radcr.2023.09.013. eCollection 2023 Dec.
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.
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。