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长期没有复发的感染内动脉动脉瘤的跨动脉栓塞:一个病例报告
Atsuhiro Ijiri1, Yohsuke Suyama1, Osamu Ishida2
1Department of Radiology, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan.
Radiology case reports
|May 21, 2024
概括
超动脉栓塞 (TAE) 为感染的内动脉动脉瘤提供了可行的治疗方法,特别是在高风险患者中. 这种最少的侵入性方法证明了成功减少动脉瘤和控制老年患者的感染.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 传染性疾病 传染性疾病
背景情况:
- 感染的内动脉动脉瘤是罕见但严重的疾病.
- 在老年或并发症患者中,手术干预往往具有高风险.
- 对于复杂的病例,存在有限的治疗选择.
研究的目的:
- 为感染的内动脉动脉瘤呈现成功跨动脉栓塞 (TAE) 的病例.
- 评估TAE在高风险患者中的安全性和有效性.
主要方法:
- 一名85岁的男性患者感染了内动脉动脉瘤,接受了紧急TAE.
- 在手术后4周内进行抗生素治疗.
- 进行了后续的计算机断层扫描 (CT) 扫描.
主要成果:
- 患者在33日出院,临床进展良好.
- 3年后的CT扫描显示了显著的动脉瘤减少.
- 在随访期间没有观察到任何复发性感染.
结论:
- 跨动脉栓塞 (TAE) 是感染内动脉动脉瘤的安全和有效的治疗选择.
- 在精选的患者群体中,TAE为高风险手术提供了有价值的替代方案.
- 这一案例凸显了内血管技术在治疗复杂血管感染方面的潜力.
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