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肺动脉伪动脉瘤:一个单中心体验的内血管封闭
Adam Fish1, Anne Sailer2, Jeffrey Pollak2
1Department of Interventional Radiology, Yale School of Medicine, New Haven, USA. Adam.fish@yale.edu.
CVIR endovascular
|December 2, 2023
概括
肺动脉伪动脉瘤 (PAP) 栓塞是一种安全有效的治疗方法,用于治疗PAP的各种原因. 线圈栓塞在所有患者中成功封闭了PAP,没有报告重大不良事件.
科学领域:
- 干预性放射学 干预性放射学
- 心血管外科心血管外科
背景情况:
- 肺动脉伪动脉瘤 (PAP) 是一种罕见但危及生命的疾病.
- 病因包括阳性原因,瘤,慢性肺病和感染.
- 大规模出血是一种常见的表现,需要紧急干预.
研究的目的:
- 评估肺动脉伪动脉瘤 (PAP) 栓塞的技术和结果.
- 评估PAP治疗中线圈栓塞的安全性和有效性.
主要方法:
- 在2014年1月至2023年9月期间,对13名患者的14例PAP栓塞进行了回顾性评估.
- PAP囊的线圈栓塞是主要使用的技术.
- 分析了临床表现,病因和程序结果.
主要成果:
- 平均PAP大小为13.5毫米.
- 在13例中11例中进行了线圈栓塞.
- 在12名患者的随访中,在所有病例中都显示了持续的闭塞,没有重大不良事件.
- 在一年前接受手术的10名患者中,有5名在平均7个月内死亡.
结论:
- 多种病因的肺动脉伪动脉瘤可以安全有效地治疗.
- 通过栓塞阻塞动脉瘤的流入,流出和囊是成功的策略.
- 栓塞为PAP提供了一种可行的治疗选择,无论其根本原因如何.
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