一个巨大的伪动脉瘤的线圈栓塞与一个被破坏的关动脉有关:一个病例报告
Naoki Oka1, Akira Kuriyama2, Yukio Ishisaka3
1Emergency and Critical Care Center, Kurashiki Central Hospital, 1-1-1 Miwa Kurashiki, Okayama, 710-8602, Japan.
CVIR endovascular
|March 11, 2024
概括
线圈栓塞成功地治疗了被破坏的关动脉 (AA) 干部的巨型伪动脉瘤 (PSA) 在一个保持附带流动的患者身上,为支架移植修复提供了替代方案.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 医学案例研究 医学案例研究
背景情况:
- 支架移植放置是关动脉 (AA) 干伪动脉瘤 (PSA) 的标准,以保持外周血管通透性.
- 在被破坏的AA树干中,对于PSA的线圈栓塞很少被记录下来.
研究的目的:
- 报告一个成功的卷轴栓塞的案例,用于破坏关动脉干的巨型伪动脉瘤.
- 突出了关动脉伪动脉瘤的替代治疗方法,当干部受到损害,但保证了附带循环.
主要方法:
- 一名54岁的女性患有巨型远端右关动脉 (AA) 伪动脉瘤 (PSA) 接受了输入动脉的选择性栓塞,使用凝涂层的线圈.
- 血管造影证实了对臂动脉的附带流的保存和PSA的排除.
主要成果:
- 该程序成功排除了PSA,而不会影响到臂动脉的必要附带循环.
- 患者经历了积极的结果,恢复了右臂和右手的温暖和血液流动,由后续成像证实.
结论:
- 线圈栓塞是治疗关动脉 (AA) 伪动脉瘤 (PSA) 的可行的选择,当AA干中断但附带通路完好无损时.
- 这种方法在特定情况下为支架移植修复提供了替代方案,优先考虑的是维护远端输液.
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