大破裂脏动脉动脉瘤的内血管线圈栓塞:一个病例报告
Konstantinos Roditis1, Nikolaos Giannakopoulos1, Vasileios Papaioannou1
1Department of Vascular Surgery, Korgialenio-Benakio Hellenic Red Cross Hospital, Athens, GRC.
Cureus
|March 29, 2024
概括
内血管修复有效治疗大动脉动脉瘤 (SAA). 这种最少的侵入性方法,尽管需要二次手术,导致动脉瘤完全关闭和良好的患者康复,支持其在SAA管理中的使用.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
背景情况:
- 动脉动脉瘤 (SAA) 是罕见的,但可能导致严重的并发症.
- 传统的开放性手术修复带有重大风险.
- 内血管修复正在成为首选的最少入侵的选择.
研究的目的:
- 介绍一个大,部分破裂的SAA的内血管修复的案例.
- 评估血管内SAA管理的有效性和当前实践.
- 强调后续和潜在的二次干预的重要性.
主要方法:
- 一名66岁的女性患有53毫米的囊性SAA,接受了内血管修复.
- 处理过程包括将可拆卸线圈和纤维线圈相互锁定.
- 随访包括CT血管造影和潜在的重复栓塞.
主要成果:
- 最初的内血管修复在技术上是成功的.
- 后续检查显示有剩余问题,需要额外的栓塞.
- 患者实现了动脉瘤的完全关闭,并没有出现并发症,康复良好.
结论:
- 内血管修复是脏动脉动脉瘤的安全有效治疗方法.
- 个性化治疗和警的随访对于最佳结果至关重要.
- 这一案例支持了在SAA管理中使用内血管技术的越来越多的证据.
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